Governing And Regulating Agencies Flashcards
Is governed by 29-members. Many healthcare providers work with this non-profit group to maintain accreditation to help reduce the possibility of investigation and punitive action by government agencies.
Joint Commission
This federal agency is tasked with governing and regulating healthcare in the U.S. All agencies are responsibility for “protecting the health of all Americans and providing essential human services, especially for those who are least able to help themselves.”
DHHS, Department of Health and Human Services
This agency falls under the umbrella of DHHS and is responsible for performing both proactive and reactive audits.
OIG, Office of Inspector General
This program has both federal and state guidelines and funding, but is administered by individual states.
Medicaid
This agency has primary responsibility to investigate complaints due to HIPAA violations. Is not under the DHHS umbrella
Department of Justice
When an individual files a complaint with CMS and CMS refers it to OIG who then decides to investigate that matter, it is know as a ___.
Reactive audit
OIG makes a routine visit to an office to make sure the facility is in compliance with healthcare regulations. This is known as a ____
Proactive audit
This agency not only protects individuals from discrimination in healthcare but also investigates violations to their privacy.
OCR, Office of Civil Rights
This agency oversees two programs which provide healthcare to about one in every four Americans
CMS
This act protects patients privacy and confidentiality rights
HIPAA
Who are corporate members of the joint commission
American College of Physicians, The American College of Surgeons, American Dental Associations, American Hospital Association, and American Medical Association.
