Chapter 3 Health Care Information Regulations, Laws, and Standards Exam Questions With Guaranteed Pass Solutions.
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Course
Healthcare Regulation
Institution
Healthcare Regulation
Licensure - Answer The process that gives a facility legal approval to operate. As a rule, state governments oversee the licensure of health care facilities, and each state sets its own licensure laws and regulations.
Certification - Answer Gives a health care organization the authority to...
Chapter 3 Health Care Information
Regulations, Laws, and Standards Exam
Questions With Guaranteed Pass
Solutions.
Licensure - Answer The process that gives a facility legal approval to operate. As a rule, state
governments oversee the licensure of health care facilities, and each state sets its own licensure laws
and regulations.
Certification - Answer Gives a health care organization the authority to participate in the federal
Medicare and Medicaid programs. An organization must be certified to receive reimbursement from
Centers for Medicare and Medicaid Services (CMS). Those accredited by The Joint Commission are
deemed to have met the federal certification standards.
Accreditation - Answer Is an external review process that an organization elects to undergo. The
accrediting agency grants recognition to organizations that meet its predetermined performance and
outcome standards.
Accrediting Agencies - Answer The Joint Commission
National Committee for Quality Assurance (NCQA)
Commission on Accreditation of Rehabilitation Facilities (CARF)
Accreditation Association for Ambulatory Health Care (AAAHC)
Facility Licensure - Answer Emphasis is on standards for physical plant, safety, etc. and must have to
operate
Accreditation Benefits - Answer (1) deemed status for CMS programs and some state licensure (2)
required for reimbursement from some payers (3) validates quality of care (4) may influence liability
insurance (5) may enhance managed care contracts and (6) gives competitive edge over non-accredited
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