AND ANSWERS (GRADED A+)
Medical Staff - ANSWER-according to the Joint Commission who is responsible for
developing criteria for FPPE when issues affecting the provision of safety patient care
are identified.
CMS - ANSWER-who is responsible for surveying and institutional review board
nephrologist - ANSWER-Peritoneal dialysis is a treatment ordered by which practitioner
Stark law - ANSWER-which legislation prohibits a physician with a financial agreement
with an entity from referring Medicare Medicaid patients to that into tea
CMS - ANSWER-who confirms the status
performance Improvement activities - ANSWER-according to the Joint Commission
continued education is based on the findings of.
5 years - ANSWER-NCQA requires an organization to obtain a claims history for a
minimum of how many years
every 6 Months - ANSWER-According to NCQA how frequently must a delegate submit
a report to the organization
For health plans 180 days, for CVO 120 days - ANSWER-verification time limit for
malpractice claims history
Nurse Practitioners, Nurse Midwife, Optometrist, Physical or Occupational Therapist, in
Speech and Language Therapist - ANSWER-During an NCQA accreditation audit which
practitioner type would be included in an audit file
every 6 months - ANSWER-According to NCQA how frequently must an organization
show evidence of an evaluation of the history of complaints for all practitioners
Medical Staff Structure, Qualifications for medical staff appointment, Duties and
Privileges for each medical staff category, Requirements for completing and
documenting histories and physicals, Description of medical staff member eligibility to
vote, Medical Staff officers position, function, size, and composition of MEC. -
ANSWER-According to the Joint Commission medical staff bylaws must delineate which
of the following