HACP-CMS Study Word Scramble
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| Question | Answer |
| 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