Fundamentals of Healthcare Regulations & Compliance

Fundamentals of Healthcare Regulations & Compliance essay assignment

Fundamentals of Healthcare Regulations & Compliance essay assignment

1. Choose one of the following agencies and summarize how they regulate the health care industry.

CMS

HHS

• OIG
• OSHA
• NCQA
• AHRQ
• 2. How is HEDIS data used to measure performance and quality?
• 3. How does the concept of quality, through HCQA and AHRQ, relate to compliance with regulations?

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4. What is the difference between licensure and credentialing?

5. How do the antitrust laws impact health care services?

6. What are two concerns in treating health care as a business?

7. What is health care reform and why is it important?

8. Why is regulation in health care so complex?

9. How is accreditation used to assess the performance of a health care organization?

10. What are some of the difference between fraud and abuse?

11. List and define the seven requirements for a compliance plan.

12. Why is compliance planning important for a health care organization?

13. Choose two advance directives and summarize