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What are the options when it comes to Medicare certification?
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What are 2 roles of the State Enforcement Agency (SA)?
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HACP-CMS Study

HACP-CMS Study Guide

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What are the options when it comes to Medicare certification? 1. A hospital can be directly certified by Medicare 2. A hospital can be accredited by a deemed-status provider 3. A hospital can forgo Medicare certification entirely
What are 2 roles of the State Enforcement Agency (SA)? 1. Investigating complaints about hospitals and alleged violations of patient rights or other CoP 2. Conducting full validation surveys of hospital's compliance to the CoP
Who is the SA? Usually the Department of Health or similar body
What are 2 other roles of SA? 1. Issuing reports of findings and monitoring corrective action plans 2. Recommending to CMS potential termination of a hospital's ability to participate in Medicare payment programs
What is a CCN? Unique hospital certification number assigned to each hospital that is used by the hospital for any service under which Medicare is billed.
CMS responsibility when Medicare is billed for services using the assigned CCN? CMS will assess a hospital's compliance with the CoP for all services, areas, and locations in which the hospital receives reimbursement for patient care services billed under its CCN
Survey Team Consists of 1 RN with hospital survey experience and other surveyors who have the expertise needed to determine whether the facility is in compliance.
Survey team size and composition factors?
Created by: mannahne
 

 



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