Study 3/4/2025 Flashcards
AAAHC says a Medicare Certified ASC must have either a written transfer agreement with a hospital or to ensure that all physicians performing surgery in the ASC have ________________________.
a. relevant training or experience
b. currently employment
c. admitting privileges at a nearby hospital
admitting privileges at a nearby hospital
Regarding meeting management, if the chairman of record is unable to attend a meeting, an acting chairman ____________________________.
a. may be appointed on by vote before the meeting begins
b. may be appointed as the bylaws allow
c. may be appointed as the Policies & Procedures allow
may be appointed as the bylaws allow
_______ states: “For physician practitioners granted privileges only, the hospital’s governing body and its medical staff must exercise oversight, such as through credentialing and competency review, of those other physician practitioners to whom it grants privileges, just as it would for those practitioners appointed to its medical staff.”
a. DNV
b. ACHC
c. Medicare
Medicare
______ states that all practitioners listed in the directory and are providing covered healthcare services to consumers are credentialed.
a. URAC
b. ACHC
c. Medicare
URAC
Key Word: Written Emergency
a. ACHC
b. AAAHC
c. DNV
AAAHC
Key Word: Comparative
a. DNV
b. URAC
c. TJC
DNV
Key Word: Laboratory
a. URAC
b. DNV
c. Medicare
Medicare
Key Word: Jurisdiction
a. URAC
b. ACHC
c. DNV
URAC
Key Word: Cover Sheet
a. TJC
b. URAC
c. ACHC
URAC
Key Word: Correct and Complete
a. NCQA
b. TJC
c. ACHC
NCQA
Key Word: Tort
a. TJC
b. NCQA
c. URAC
NCQA
The responsibilities of the ______ include calling the meeting to order, keeping the meeting to its order of business, and handling discussion in an orderly way.
a. Committee
b. MSP
c. Chair
Chair
What does the Medicare COPs state about peer recommendations?
a. must follow by laws and CCJET is considered
b. use of a peer group is recommended
c. not specifically addressed
not specifically addressed
According to AAAHC who determines which other qualified professionals(AHPs) it wishes to allow on staff.
a. CEO, MEC
b. Governing body
c. Credentialing Committee
Governing body
Which organization accepts sealed transcripts with an unbroken institution seal as primary source verification for training? This organization must document that it opened the envelope and confirmed completion of training?
a. TJC
b. DNV
c, NCQA
NCQA
Key Word: Sealed Transcripts
a. TJC
b. NCQA
c. ACHC
NCQA
Which organization discusses how for initial applicants, references should be obtained from the Residency Program Chair or Department Chair?
a. URAC
b. TJC
c. ACHC
ACHC
TJC allows the use of the following designated equivalent sources for training verifications:
a. AMA Physician Master Profile & AOA Physician Database
b. FSMB & ECFMG
c. All of the above
AMA Physician Master Profile & AOA Physician Database
This standard states “there is no specific requirement for peer recommendations.”
a. URAC
b. NCQA
c. AAAHC
NCQA
Which organizations must obtain documentation regarding training and education sufficient to support requested privileges.
a. DNV
b. TJC
c. ACHC
ACHC
Which accreditor does not specifically address work history, the medical staff bylaws must include criteria for determining the privileges to be granted to individual practitioners, including experience.
a. Medicare
b. DNV
c. AAAHC
DNV
TJC standards state, when renewing privileges, if there is insufficient data available, the _____________ uses and evaluates peer recommendations.
a. Credentials Committee
b. Clinical Service Chairperson
c. Medical Staff
Medical Staff
