RHIA DOMAIN 4 EXAM QUESTIONS AND ANSWERS
What 3 organizations does CMS recognize for accreditation? - Answer-Joint Commission
DNV
AOA
This certification process is conducted by a state agency, usually the Department of Health and Human Services, on behalf of the Centers for Medicare and Medic...
What 3 organizations does CMS recognize for accreditation? - Answer-Joint
Commission
DNV
AOA
This certification process is conducted by a state agency, usually the Department of
Health and Human Services, on behalf of the Centers for Medicare and Medicaid
Services (CMS).Some states and Medicare accept accreditation from specific
accreditation organizations as the basis for partial or full licensure. This policy is called
_____________ - Answer-deemed status
The Medicare medical insurance that requires voluntary enrollment and a monthly
premium to assist in payment for physician services is ________. - Answer-Medcare
Part B
The managed care organizations in which physicians can provide services to both MCO
subscribers and non-MCO subscribers is the ________. - Answer-IPA
______________may be voluntary; however, it gives the healthcare organization
credibility within the industry. Accreditation is often regarded as a key benchmark for
comparing and measuring quality of patient care. - Answer-Accreditation
Accreditation for managed care organizations is______ - Answer-National Committee
for Quality Assurance (NCQA)
an accreditation organization who has accreditation standards for a number of
healthcare settings including hospitals. - Answer-The Joint Commission (TJC)
accreditation organization who focuses only on hospitals. - Answer-Det Norske Veritas
(DNV)
Accreditation organization for rehab facilities - Answer-Commission on Accreditation of
Rehabilitation Facilities (CARF)
For a healthcare organization to participate in and receive reimbursement from federal
payers such as Medicare or Medicaid programs, the organization must demonstrate
compliance with the Conditions of Participation (CoP) by receiving a _______ status. -
Answer-deemed
, organization who accredits osteopathic hospitals - Answer-American Osteopathic
Association (AOA) Hospital Accreditation Program
The Joint Commission must conduct a site visit at least ________ - Answer-every 3
years
Medicare has awarded deemed status to all of the following accrediting organizations
except ________. AMA, TJC, AOA, DNV - Answer-AMA
What organizations provide accreditation for ambulatory care facilities? - Answer-
Accreditation Association for
Ambulatory Healthcare (AAAHC)
What accreditation body deems:
Hospitals
Ambulatory care
Healthcare networks
Clinical laboratories
Home health - Answer-The Joint Commision
What accreditation body deems:
Medical rehabilitation
Assisted living
Behavioral health
Occupational health - Answer-Commission on Accreditation of
Rehabilitation Facilities (CARF)
National Committee for
Quality Assurance (NCQA) provides accreditation for: - Answer-Managed care
organizations
EACH _____ publishes specific requirements that the healthcare facility must abide by
to be licensed. - Answer-STATE
Hospitals and other facilities operated by the federal government, such as Veterans
Administration hospitals, do not have to be licensed by the ________. - Answer-state
Licensure generally occurs _________.If the license is pulled by the state due to
noncompliance with the regulations, then the facility must close its doors - Answer-
annually.
Facilities must complete an _____________ for licensure and file the document with the
state on an annual basis. Applications usually include information such as the
classification of the facility, - Answer-application
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