CCS Domain 9 Exam Questions & Answers Rated A+.

CCS Domain 9 Exam Questions & Answers Rated A+. In the past, Joint Commission standards have focused on promoting the use of a facility-approved abbreviation list to be used by hospital care providers. With the advent of the Commission's national pt. safety goals, the focus has shifted to the: A. prohibited use of any abbreviations B. flagrant use of specialty-specific abbreviations C. use of prohibited or "dangerous" abbreviations D. use of abbreviations used in the final dx - CORRECT ANSWER Use of prohibited or "dangerous" abbreviations [The Joint Commission requires hospitals to prohibit abbreviations that have caused confusion or problems in their handwritten form, such as "U" for unit, which can be mistaken for "O" or the number "4". Spelling out the unit is preferred.] As part of the Joint Commission's National Patient Safety goals initiative, acute care hospitals are now required to use a preoperative verification process to confirm the patient's true identity & to confirm that necessary documents such as x-rays or medical records are avail. They must also develop & use a process for: A. including the primary caregiver in surgery consults B. including the surgeon in the preanesthesia assessment C. marking the surgical site D. apprising the pt. on all complications that may occur - CORRECT ANSWER Marking the surgical site. [The Joint Commission requires hospitals to mark the correct surgical site and to involve the pt. in the marking process to avoid wrong site surgeries.] According to the Joint Commission's National Patient Safety Goals, which of the following abbreviations would most likely be prohibited? B. 4 mg Lasix C. 40mg Lasix D. 0.4 mg Lasix - CORRECT ANSWER 0.4 mg Lasix [Among those abbreviations considered confusing or likely to be misinterpreted are those containing a leading decimal.] In determining your acute care facility's degree of compliance w/ prospective payment requirements for Medicare, the best resource to reference for recent certification standards is the: A. CARF manual B. hospital bylaws C. Joint Commission accreditation manual D. Federal Register - CORRECT ANSWER Federal Register [CMS publishes both proposed & final rules for the Conditions of Participation for hospitals in the daily Federal Register] You have been asked to recommend time-limited documentation standards for inclusion in the Medical Staff Bylaws, Rules, and Regulations. The committee documentation standards must meet the standards of both the Joint Commission & the Medicare Conditions of Participation. The standards for the history and physical exam documentation are discussed first. You advise them that the time period for completion of this reports should be set at: A. 12 hrs after admission B. 24 hrs after admission C. 12 hrs after admission or prior to surgery D. 24 hrs after admission or prior to surgery - CORRECT ANSWER 24 hrs after admission or prior to surgery. [These meets both Joint Commission & COP standards.] Accreditation by Joint Commission is a voluntary activity for a facility & it is: A. considered unnecessary by most health care facilities B. required for state licensure in all states C. conducted in each facility annually D. required for reimbursement of certain payment groups - CORRECT ANSWER Required for reimbursement of certain payment groups. [A. Advantages of accreditation are numerous & include financial & legal incentives. B. State licensure is required for accreditation but not the reverse. C. Joint Commission conducts unannounced on-site surveys approx. every 3 years.] The best resource for checking out specific voluntary accreditation standards and guidelines for a rehabilitation facility is the: A. Conditions of Participation for Rehabilitation Facilities. B. Medical Staff Bylaws, Rules, and Regulations C. Joint Commission manual D. CARF manual - CORRECT ANSWER CARF manual [The manual published by the Commission of Accreditation for Rehabilitation Facilities will have the most specific & comprehensive standards for a rehabilitation facility.] Before making recommendations to the Executive Committee regarding new physicians who have applied for active membership, the Credentials Committee must query the: A. peer review organization B. National Practitioner Data Bank C. risk manager D. Health Plan Employer Data & Information Set - CORRECT ANSWER National Practitioner Data Bank [With the passage of the health Care Quality Improvement Act of 1986, the NPDB was established. Hospitals are required to query the data bank before granting clinical privileges to physicians.]