Locate and review medicares conditions of participation

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Reference no: EM131732639

Assignment Objectives

1. Meet CAHIIM Curriculum requirement for Associate Degree

a. Domain I. Data Content Structure and Standards

b. Subdomain I.B. Health Record Content and Documentation

c. 3. Identify a complete health record according to, organizational policies, external regulations, and standards

d. Competencies: Medical staff By-laws

2. Meet CAHIIM Curriculum requirement for Bachelor Degree

a. Domain VI. Leadership

b. Subdomain VI.F. Strategic and Organizational Management

c. Section 1. Identify departmental and organizational survey readiness for accreditation, licensing and/or certification processes

d. Competencies: Accreditation standards o CMS Conditions of Participation

Purpose: This assignment will help you become familiar with documentation standards and Medicare's Conditions of Participation

Assignment Description:

The CEO of Hospital Anywhere has just hired you as a consultant to review and update all administrative guidelines, policies and procedures. You want to start with the Medical Staff By-laws. You ask the CEO for a copy of the Medical Staff By-laws to review.

The CEO tells you, that he doesn't know if any Medical Staff by-laws were ever written and refers you to the Director of the Medical Staff.

When you speak with the Director of the Medical Staff, you learn that the CEO is correct. The Medical Staff By-laws were never written.

After discussion with both the CEO and Director of the Medical Staff, it is determined that at least part of the Medical Staff by-laws should reflect Medicare's Conditions of Participation.

Step One: Locate and review Medicare's Conditions of Participation.

Step Two: Develop five Medical Staff By-laws based on the information in the Medicare's Conditions of Participation

Step Three: Write a formal proposal to the CEO and Medical Staff director containing the following:

1. An explanation about Medicare's Conditions of Participation (What is it?)

2. Five Medical Staff By-laws

3. An explanation for EACH by-law. Why it is important? How does it meet Medicare's Conditions of Participation?

Your proposal should be two pages long (not counting title and reference pages) and be in proper APA format.

Assignment Objectives

1. Meet CAHIIM Curriculum requirement for Associate Degree

a. Domain I. Data Content Structure and Standards

b. Subdomain I.C. Data Governance

c. 1. Apply policies and procedures to ensure the accuracy and integrity of health data

d. Competencies: By-laws o Provider contracts with facilities, Medical staff By-laws, Hospital By-laws

2. Meet CAHIIM Curriculum requirement for Bachelor Degree

a. Domain VI. Leadership

b. Subdomain VI.F. Strategic and Organizational Management

c. Section 1. Identify departmental and organizational survey readiness for accreditation, licensing and/or certification processes

d. Competencies: Accreditation standards o Provider credentialing requirements

Purpose: This assignment will help you become familiar Physician contract, By-Laws, and credentialing requirements.

Assignment Description:

The CEO and Medical Staff Director were so impression with the work that you completed on your last consulting assignment, that they have decided to hire you again. This time they would like you to work with a group of new physicians.

These physician will need to learn about the physician contract, the Medical Staff by-laws, the Hospital by-laws, and the credentialing process.

Step One: Review the information located at acponline from the American College of Physician on physician employment contracts.

Step Two: Locate and review information on Hospital and Medical Staff By-laws

Step Three: Locate and review information on the physician credentialing process.

Step Four: Create a one-page handout that can be given to the new physicians that explains physician contracts, Hospital by-laws, Medical Staff by-laws, and the credentialing process.

This should not be written as a formal paper but as a quick at-a glance reference sheet for new physicians.

Reference no: EM131732639

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