Appointment Timeframe (Namss Comparison) Flashcards
APPOINTMENT TIMEFRAME: Privileges are granted for a period not to exceed three years or for the period required by law and regulation, if shorter. Not to exceed three years, measured to the day. For example, if the reappointment period is 07/01/2021 through 06/30/2024, the reappointment date would be 07/01/2024.
a. TJC (CAMH)
b. ACHC (HFAP)
c. URAC
TJC (CAMH)
APPOINTMENT TIMEFRAME: CR 4 Recredential at least every 36 months. The accreditation counts the three year 36 month cycle to the month, not to the day. For example, if the organization credentials a practitioner on 01/5/2020, the practitioner must be recredentialed by 01/31/2023.
a. URAC
b. Medicare CoP
c. NCQA
NCQA
APPOINTMENT TIMEFRAME: In the absence of a state law that established a timeframe for periodic reappraisal, an appraisal is conducted at a minimum, every 36 months for each practitioner
a. ACHC (HFAP)
b. AAAHC
c. TJC (CAMH)
ACHC (HFAP)
APPOINTMENT TIMEFRAME: MS.6 SR.10 As defined by state law, or if permitted by state law not to exceed three years. Reappraisal shall also occur: SR.10a When a practitioner seeks to perform procedures outside the scope of those originally granted and; SR.10b As defined in the medical staff bylaws
a. AAAHC
b. DNV (NIAHO)
c. NCQA
DNV (NIAHO)
APPOINTMENT TIMEFRAME: Recredential at least every three years. This accreditation counts the three year cycle to the month. For example, if the organization credentials a practitioner on 1/5/2020, the practitioner must be recredentialed by 1/31/2023.
a. TJC (CAMH)
b. Medicare CoP
c. URAC
URAC
APPOINTMENT TIMEFRAME: Every three years or more frequently if required by State law or organizational policy
a. AAAHC
b. NCQA
c. URAC
AAAHC
APPOINTMENT TIMEFRAME: Interpretive Guidelines §482.22(a)(1) The medical staff must at regular intervals appraise the qualifications of all practitioners appointed to the medical staff / granted medical staff privileges. In the absence of a State law that establishes a timeframe for periodic reappraisal, a hospital’s medical staff must conduct a periodic appraisal of each practitioner, CMS recommends that an appraisal be conducted at least every 24 months for each practitioner. Interpretive Guidelines §482.51(a)(4) Surgical privileges should be reviewed and updated at least every two years
a. TJC (CAMH)
b. DNV (NIAHO)
c. Medicare CoP
Medicare CoP