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CPCS 2025 MEDICARE CONDITIONS OF PARTICIPATION COPS EXAM QUESTIONS AND ANSWERS
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CPCS 2025 MEDICARE CONDITIONS OF PARTICIPATION COPS EXAM QUESTIONS AND ANSWERS...
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CPCS 2025 MEDICARE CONDITIONS OFPARTICIPATION COPS EXAM QUESTIONS
AND ANSWERS
482.12 Conditions of Participation: Governing Body - ANSWER There must
be an effective governing body that is legally responsible for the conduct of the
hospital.
If a hospital does not have an organized governing body, the persons legally
responsible for the conduct of the hospital must carry out the functions specified
that pertain to the governing body.
What does the governing body have to do? - ANSWER The governing body
shall consult directly with the individual responsible for the organization and
conduct of the hospital's medical staff, or his or her designee.
For a multi-hospital system using a single governing body, the governing body
shall consult directly with the individual responsible for the organized medical
staff of each hospital within its system.
At what frequency is the governing body required to conduct direct consultation
with the individual responsible for the organized medical staff? - ANSWER
No less frequently than periodically in the fiscal or calendar year.
With what does the governing body and the individual responsible for the
organized medical staff consult? - ANSWER Matters relating to the quality of
medical care being provided to the patients of the hospital.
, 482.12 (a): Standard: Medical Staff (overall) ANSWER The governing body
must ensure that the medical staff requirements are met.
482.12 (a)(1): The governing body, in accordance with State law, must
determine - ANSWER Which categories of practitioners are eligible candidates
for appointment to the medical staff.
The medical staff must include: - ANSWER *At Minimum:
* Doctors of medicine or
* Doctors of osteopathy
*May include but is not limited to:
Doctor of dental surgery or dental medicine
Doctor of podiatric medicine
Doctor of optometry
Chiropractor
*The governing body has discretion as to whether other practitioners described
in the definition of a physician are candidates for appointment to the medical
staff.
That is to say, the practitioners involved in the definition of a physician, in all
instances must: - ANSWER *Be legally authorized to practice within the State
where the hospital is located.
*Provide services within their authorized scope of practice.
What is the responsibility of the governing body in relation to the non-physician
practitioner? - ANSWER The governing body is responsible, under State law,
to grant some categories of non-physician practitioners such as NP, PA, CRNA
and CNM medical staff privileges/credentials.
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