Which of the following would be a good resource to review when *designing a process for monitoring
compliance with federal privacy ,security and breech notification requirements?* - ANSWER:OCR-Office
of Civil Rights Audit Program Protocol
*enforces compliance w/HIPAA Privacy & Security requirments*
Instead of undergoing a survey by the state to demonstrate compliance with Medicare COP a hospital
can establish compliance (deemed status)by maintaining accreditation with - ANSWER:Accreditation
Commission for Health Care Inc
_______________is a *voluntary* process where a entity contracts with an independent body to
perform a review of the healthcare entity's services to evaluate the safety and qualify of its healthcare
services and business operations - ANSWER:Accreditation
Which would be the least useful in identifying areas at risk for coding noncompliance? -
ANSWER:Uniform Hospital Discharge Data Set (UHDDS)
As part of the credentialing process, healthcare facilities are required to make an inquiry of the
___________ regarding physicians.
*requirement of HCQIA Healthcare Quality Improvement Act 1986* - ANSWER:*NPDB National
Practitioner Data Bank*
Which best describes Medicare's definition of medical necessity? - ANSWER:items or services considered
by Medicare to be *reasonable and necessary for the diagnosis or treatment of illness or injury *or to
improve the functioning of a malformed body member
Which of the following Is *ultimately responsible for the operation of a typical hospital* -
ANSWER:*Board of Directors*
Which of the following is a useful tool for an organization *to implement to explain that the organization
will comply with all applicable documentation requirement?* - ANSWER:Policy
The *HHS* Office of Inspector General *OIG* developed *compliance guidance for healthcare entitles*
based on these guidelines. - ANSWER:*US Federal Sentencing Guidelines*
Which of the following would be the least likely source of health record documentation requirements for
an acute care hospital?