Compliance with Law (NAMSS Comparison)

Question 1

COMPLIANCE WITH LAW: This occurs in a way consistent with any hospital policies or procedures intended to preserve any confidentiality or privilege of information established by applicable law. A governance standard holds the hospital’s governing body responsible to comply with applicable law and regulation. Leaders are responsible to be aware of an comply with local, State, and Federal regulations related to credentialing and privileging of practitioners

a. NCQA
b. TJC (CAMH)
c. URAC

Answer 1

TJC (CAMH)

Question 2

COMPLIANCE WITH LAW: CR 7 Element A Factor 1 The administrative policies and procedures indicate that organizations providing managed care services must comply with applicable Federal, State, and local laws and regulations including requirements for licensure. Thus, the organization’s leaders are responsible for any regulations relating to credentialing

a. NCQA
b. TJC (CAMH)
c. ACHC (HFAP)

Answer 2

NCQA

Question 3

COMPLIANCE WITH LAW: Standards require compliance with applicable law and regulations

a. NCQA
b. ACHC (HFAP)
c. DNV (NIAHO)

Answer 3

ACHC (HFAP)

Question 4

COMPLIANCE WITH LAW: GB.2 SR.1a Standards require compliance with all applicable Federal, State, and local laws

a. DNV (NIAHO)
b. AAAHC
c. NCQA

Answer 4

DNV (NIAHO)

Question 5

COMPLIANCE WITH LAW: Standards require compliance with all applicable Federal, State, and local laws

a. DNV (NIAHO)
b. URAC
c. Both A & B

Answer 5

Both A & B

Question 6

COMPLIANCE WITH LAW: Interpretive Guidelines §482.12(a)(3) The governing body must assure that the medical staff has bylaws and that those bylaws comply with State and Federal law and the requirements of CoPs. §482.11 Condition of Participation; Compliance with Federal, State, and local laws Interpretive Guidelines §482.11 The hospital must ensure that all applicable Federal, State, and local law requirements are met

a. URAC
b. Medicare CoP
c. NCQA

Answer 6

Medicare CoP