PNC 4 exam 2 questions and answers
rated A+
where is the scope of practice found
a state's nurse practice act
legislative
makes laws (congress, senate, house of representatives)
executive
carries out laws (president, Vice President, cabinet)
judicial
interprets laws (Supreme Court, other federal courts)
nursing process
Assessment
Diagnosis
Planning
Implementation
Evaluation
factors that affect development of policy
formulation phase
implementation phase (DHHS, OSHA)
evaluation phase
center for medicare and medicaid services (CMS)
driving force for ALL insurance policy and standards, regardless of level of coverage
regulates organizations, NOT nurses
oversees medicare/medicaid reimbursement
false claims act
, illegal to submit a falsified bill
citizens can sue on behalf of the government if have evidence
"whistleblower" protected from retaliation for reporting fraud
stark act
limits physician referrals so that a physician does not benefit financially from referring patients
to a practice they have a financial stake in
medicare and medicaid patient protection act of 1987
anti-kickback statute, illegal to give to take kickbacks, bribers, or rebates for items or services
that will be paid for by a government healthcare program
social security act
illegal to pay physicians or providers to encourage them to limit services to medicare or
medicaid; offer gifts to medicare or medicaid patients to get their business
EMTALA (Emergency Medical Treatment and Active Labor Act)
must provide emergency services to all patients whether or not the patient can pay
HIPPA
protects a patient's right to privacy of health information
professional organizations
American nurses association
national student nurses association
specialty practice organizations
sigma theta tau international
national league for nursing
American association of colleges of nursing (AACN)
commission of collegiate nursing education (CCNE)
federal programs (public insurance)
medicare, medicaid, state child health insurance programs (SCHIP)
Institute of Medicine (IOM)
a private, nonprofit organization created by the federal government to provide science-based
advice on matters of medicine and health
rated A+
where is the scope of practice found
a state's nurse practice act
legislative
makes laws (congress, senate, house of representatives)
executive
carries out laws (president, Vice President, cabinet)
judicial
interprets laws (Supreme Court, other federal courts)
nursing process
Assessment
Diagnosis
Planning
Implementation
Evaluation
factors that affect development of policy
formulation phase
implementation phase (DHHS, OSHA)
evaluation phase
center for medicare and medicaid services (CMS)
driving force for ALL insurance policy and standards, regardless of level of coverage
regulates organizations, NOT nurses
oversees medicare/medicaid reimbursement
false claims act
, illegal to submit a falsified bill
citizens can sue on behalf of the government if have evidence
"whistleblower" protected from retaliation for reporting fraud
stark act
limits physician referrals so that a physician does not benefit financially from referring patients
to a practice they have a financial stake in
medicare and medicaid patient protection act of 1987
anti-kickback statute, illegal to give to take kickbacks, bribers, or rebates for items or services
that will be paid for by a government healthcare program
social security act
illegal to pay physicians or providers to encourage them to limit services to medicare or
medicaid; offer gifts to medicare or medicaid patients to get their business
EMTALA (Emergency Medical Treatment and Active Labor Act)
must provide emergency services to all patients whether or not the patient can pay
HIPPA
protects a patient's right to privacy of health information
professional organizations
American nurses association
national student nurses association
specialty practice organizations
sigma theta tau international
national league for nursing
American association of colleges of nursing (AACN)
commission of collegiate nursing education (CCNE)
federal programs (public insurance)
medicare, medicaid, state child health insurance programs (SCHIP)
Institute of Medicine (IOM)
a private, nonprofit organization created by the federal government to provide science-based
advice on matters of medicine and health
