An effective compliance program should include some basic elements to comply
with state and federal laws. These include policies, procedures, and standards of
conduct; the identification of a compliance officer and committee; education of
staff; establishment of communication channels; performance of internal
monitoring; corrective action when a problem is identified; and which of the
following? - Correct Answer ✔️✔️Penalties for noncompliance of standards
Medical record completion compliance is a problem at Community Hospital. The
number of incomplete charts often exceeds the standard set by the Joint
Commission, risking a type I violation. Previous HIM committee chairpersons tried
multiple methods to improve compliance, including suspension of privileges and
deactivating the parking garage keycard of any physician in poor standing. To
improve compliance, which of the following would be the next step to overcome
noncompliance? - Correct Answer ✔️✔️Contact other hospitals to see what
methods they use to ensure compliance.
, How do accreditation organizations such as the Joint Commission use the health
record? - Correct Answer ✔️✔️To determine whether standards of care are
being met
Valley High, a skilled nursing facility, wants to become certified to take part in
federal government reimbursement programs such as Medicare. What standards
must the facility meet in order to become certified for these programs? - Correct
Answer ✔️✔️Conditions of Participation
Mildred Smith was admitted from an acute-care hospital to a nursing facility with
the following information: "Patient is being admitted for organic brain syndrome."
Underneath the diagnosis, her medical information along with her rehabilitation
potential was also listed. On which form is this information documented? -
Correct Answer ✔️✔️Transfer or referral form
What type of data is exemplified by the insured party's member identification
number? - Correct Answer ✔️✔️Financial data
Which of the following is the type of master patient index (MPI) matching
algorithm that assigns weights to specific data elements and uses the weights to
compare one record to another? - Correct Answer ✔️✔️Rules-based