Laws governing medicare - Study guides, Class notes & Summaries

CHAPTER 5 - TERMS CHAPTER 5 - TERMS Statute A written law adopted by a legislative body that governs a city, county, state or country. Regulation Rules issued by administrative agencies that have the force of law. Standard A uniform method of defining basic parameters for processes, products, services and measurements. Regulatory standard A comparison benchmark that is mandated by a governing agency. Noncompliance with regulatory standards may lead to citations a...

HCCA- CHC STUDY QUESTION REAL TEST BANK TEST WITH 700+ QUESTION AND CORRECT DETAILED ANSWERS RATED A GRADE. True or False: The ACA requires that all providers adopt a compliance plan as a condition of enrollment with Medicare, Medicaid, and Children's Health Insurance Program (CHIP). - ANSWER-True ref. ACA section 6102 According to HHS-OIG - what are three important reasons for proper documentation in Compliance? (hint: protections) - ANSWER-1.Protect our programs 2.Protect your patient...

NAB Practice Questions And Answers 2024 Written policies and procedures are used by the facility for all of the following except: 1. To communicate what management expects in any situation 2. To prepare staff for dealing with emergency situations 3. To establish the management style for operating the facility 4. To set guidelines for staff to follow in delivery of care - answer3 When admitted to the nursing home, which of the following is not required to be given to the resident? 1. The ...

NCCT Exam Practice Questions and Answers 100% Correct answers 2024 Title 1 of the Americans with Disabilities Act (ADA) mandates that individuals with disabilities are: A) to be provided access to public services B) to be given opportunities for public housing C) not be discriminated against in obtaining employment D) to be provided means of telecommunication - ANSWERS Answer is C #2 Answer is D - ANSWERS Which of the following health care issues is NOT covered under the Health Insur...

1. Module 4: Communications and Marketing Rules for Medicare Advantage and Part D Plans 2. Navigation Instructions 3. Terms and Conditions This training program is protected under United States Copyright laws, 17 U.S.C.A. §101, et seq. and international treaties. Except as provided below, the training program may not be reproduced (in whole or in part) in hard paper copy, electronically, or posted on any web site or intranet without the prior written consent of AHIP. Any AHIP member comp...

Written policies and procedures are used by the facility for all of the following except: 1. To communicate what management expects in any situation 2. To prepare staff for dealing with emergency situations 3. To establish the management style for operating the facility 4. To set guidelines for staff to follow in delivery of care 3 When admitted to the nursing home, which of the following is not required to be given to the resident? 1. The resident's rights and rules and regulations...

CPCS Exam 2023 Questions and Answers Rated A+ TJC (The Joint Commission) Definition of Credentialing The process of obtaining, verifying, and assessing the qualifications of a health care practitioner who seeks to provide patient care services in or for a hospital. NCQA (National Committee for Quality Assurance) definition of credentialing process by which an organization reviews and evaluates qualifications of licensed independent practitioners to provide services to its members. Should you u...

While Title XVIII (Medicare) and Title XIX (Medicaid) both refer to fire safety and construction information, the actual provisions in those areas are specified by: 1. American National Standards Institute (ANSI) 2. Occupational Safety and Health Administration (OSHA) 3. Life Safety Code (LSC) 4. Uniform Building Codes (UBC) - ANS 3. Life Safety Code Written policies and procedures are used by the facility for all of the following except: 1. To communicate what management expec...

NAB Practice Questions And Answers 2024 Written policies and procedures are used by the facility for all of the following except: 1. To communicate what management expects in any situation 2. To prepare staff for dealing with emergency situations 3. To establish the management style for operating the facility 4. To set guidelines for staff to follow in delivery of care - answer3 When admitted to the nursing home, which of the following is not required to be given to the resident? 1. The ...

CHC Random Study Questions 2 with 100% Correct Answers Fill in the blank: The ___________ ____ Act further required that the HHS Secretary, in consultation with HHS-OIG, establish "core elements" for provider and supplier compliance programs within a particular industry or sector. -Answer-Affordable Care Pursuant to 42 C.F.R. §§ 422.503(b)(4)(vi), 423.504(b)(4)(vi), and as incorporated into Chapter 21, Section 30 of the "Medicare Managed Care Manual": All sponsors are required to ad...