Cpmsm 2 - Study guides, Class notes & Summaries

NAMSS CPCS-CPMSM 2023 Healthcare Facilities Accreditation Program (HFAP) - ANS-Provides Accreditation programs from allopathic and osteopathic actute care hospitals, critical access hospitals, ambulatory surgical centers, ambulatory care/office based surgery, clinical laboratories and behavioral health facilities. While previously primarily osteopathic focuses, HFAP is not authorized by the Centers for Medicare and Medicaid Services (CMS) to survey all hospitals for compliance with the...

When developing clinical privileges the following are important to evaluate? Established standards of practice such as, specialty board recommendations. What is the main reason for periodically assessing appropriateness of clinical privileges for each specialty? To protect patient safety by ensuring current competeny, revelance to the facility and accepted standards of trade. Which is the most likely speciality to perform a PTCA? Interventional Cardiologist TJC hospital s...

NAMSS CPCS-CPMSM 2023 Healthcare Facilities Accreditation Program (HFAP) - ANS-Provides Accreditation programs from allopathic and osteopathic actute care hospitals, critical access hospitals, ambulatory surgical centers, ambulatory care/office based surgery, clinical laboratories and behavioral health facilities. While previously primarily osteopathic focuses, HFAP is not authorized by the Centers for Medicare and Medicaid Services (CMS) to survey all hospitals for compliance with the...

What does HEDIS stand for? Healthcare Effectiveness Data and Information Set What is HEDIS? is a widely used set of performance measures in the managed care industry. HEDIS is a multipurpose tool originally designed to address private employers' needs and has been adopted by public purchasers, regulators and consumers. HEDIS is an element of NCQA accreditation and the basis of consumer report cards for managed care. HEDIS data is collected through a combination of surveys, provider med...

Medical Staff according to the Joint Commission who is responsible for developing criteria for FPPE when issues affecting the provision of safety patient care are identified. 5 years NCQA requires an organization to obtain a claims history for a minimum of how many years every 6 Months According to NCQA how frequently must a delegate submit a report to the organization For health plans 180 days, for CVO 120 days verification time limit for malpractice claims history ...

Where must accreditors submit their standards for approval? CMS When is deemed status given? After approval by CMS What are requirements set by forces outside the organization? External criteria What factors are defined by the hospital's medical staff and governing body or the MCO's board? Internal criteria Name possible internal criteria? Board certification, an office within close proximity of facility, alternate coverage, need for a particular specialty, app...

CPMSM LESSON 2

NAMSS CPCS CPMSM 2024 questions with completed solutions

NAMSS CPCS CPMSM 2021