HCQM ; HIGH YIELD NOTES. EXAM
QUESTIONS AND ANSWERS 2026
VERIFIED.
Joint Commission - ANS -Only accrediting body
-Created NPSH (National Patient Safety Goals)
-Most States recognize Joint Commission accreditation as a condition of licensure for the receipt
Medicaid/ Medicare reimbursements
NPSG - ANS Created by Joint Commission
2023 includes :
·PT identifiers
·Improve the effectiveness of communication
·Improve the safety of using medications
·Reduce the harm of clinical alarm systems
·Reduce the risk of health care-associated infections
·ID safety risks inherent in your patient population
·Prevent mistakes in surgery (Introduction to the Universal Protocol for Preventing, Time-Outs)
Stark Law - ANS -Prohibits physicians or their family members who own health care facilities
from referring patients to those entities if Medicare or Medicaid, will pay for treatment.
-Exemption for "Groups" and "Dr. Visits"
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 7
, -Only applies to Doctors ( Anti Kick Back applies to everyone though)
HCQIA (Health Care Quality Improvement Act) - ANS -1986
- Federal law passed to prevent physicians with significant malpractice/'adverse action' for
quality of care concerns moving to new states
-Provides immunity from damages for peer review
National Practitioner Data Bank (NPDB) - ANS reports on physicians: clinical privilege actions,
malpractice claims, state licensure actions
IPPS (Inpatient Prospective Payment System) - ANS A SYSTEM IN WHICH MEDICARE
REIMBURSES HOSPITALS FOR INPATIENT SERVICES
-Pays based on Diagnosis Code (DRG)
PSQIA (Patient Safety Quality Improvement Act) - ANS legislation, published in 2005 and
effective in 2009, that launched a reporting system for violations of patient safety
Hospital Value-Based Purchasing Program - ANS -CMS program to reward hospitals for quality
-Can withhold 2% medicare
Based on:
Mortality and complications
Healthcare-associated infections
Patient safety
Patient experience*
Efficiency and cost reduction
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 7
QUESTIONS AND ANSWERS 2026
VERIFIED.
Joint Commission - ANS -Only accrediting body
-Created NPSH (National Patient Safety Goals)
-Most States recognize Joint Commission accreditation as a condition of licensure for the receipt
Medicaid/ Medicare reimbursements
NPSG - ANS Created by Joint Commission
2023 includes :
·PT identifiers
·Improve the effectiveness of communication
·Improve the safety of using medications
·Reduce the harm of clinical alarm systems
·Reduce the risk of health care-associated infections
·ID safety risks inherent in your patient population
·Prevent mistakes in surgery (Introduction to the Universal Protocol for Preventing, Time-Outs)
Stark Law - ANS -Prohibits physicians or their family members who own health care facilities
from referring patients to those entities if Medicare or Medicaid, will pay for treatment.
-Exemption for "Groups" and "Dr. Visits"
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 7
, -Only applies to Doctors ( Anti Kick Back applies to everyone though)
HCQIA (Health Care Quality Improvement Act) - ANS -1986
- Federal law passed to prevent physicians with significant malpractice/'adverse action' for
quality of care concerns moving to new states
-Provides immunity from damages for peer review
National Practitioner Data Bank (NPDB) - ANS reports on physicians: clinical privilege actions,
malpractice claims, state licensure actions
IPPS (Inpatient Prospective Payment System) - ANS A SYSTEM IN WHICH MEDICARE
REIMBURSES HOSPITALS FOR INPATIENT SERVICES
-Pays based on Diagnosis Code (DRG)
PSQIA (Patient Safety Quality Improvement Act) - ANS legislation, published in 2005 and
effective in 2009, that launched a reporting system for violations of patient safety
Hospital Value-Based Purchasing Program - ANS -CMS program to reward hospitals for quality
-Can withhold 2% medicare
Based on:
Mortality and complications
Healthcare-associated infections
Patient safety
Patient experience*
Efficiency and cost reduction
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 7
