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CIA can be used to address quality of care [2] or corporate integrity issues. [1] CIAs create a framework within which the company must operate in order to avoid being barred from participation in federal health care programs. [1] States use CIAs as part of their anti-fraud efforts. [3] [4]: 9 CIAs generally last 5 years.
According to a March 2013 Evaluation, "The Beacon Communities have implemented a wide variety of interventions, including innovations in care delivery, provider feedback and performance measurement initiatives, health IT development projects, and tools to improve the process of care for providers and consumers.
Clinical documentation improvement (CDI), also known as "clinical documentation integrity", is the best practices, processes, technology, people, and joint effort between providers and billers that advocates the completeness, precision, and validity of provider documentation inherent to transaction code sets (e.g. ICD-10-CM, ICD-10-PCS, CPT, HCPCS) sanctioned by the Health Insurance ...
The National Council Licensure Examination (NCLEX) is a nationwide examination for the licensing of nurses in the United States, Canada, and Australia since 1982, 2015, and 2020, respectively. [ 2 ] [ 3 ] There are two types: the NCLEX-RN and the NCLEX-PN.
The American Nurses Credentialing Center (ANCC), a subsidiary of the American Nurses Association (ANA), is a certification body for nursing board certification and the largest certification body for advanced practice registered nurses in the United States, [1] as of 2011 certifying over 75,000 APRNs, including nurse practitioners and clinical nurse specialists.
The National Healthcareer Association (NHA) is a national professional certification agency for healthcare workers in the United States. [3] Granting credentials in more than 8 allied health specialties, it is an organizational member of the National Organization for Competency Assurance (NOCA). [ 4 ]
Health Insurance Portability and Accountability Act of 1996; Other short titles: Kassebaum–Kennedy Act, Kennedy–Kassebaum Act: Long title: An Act To amend the Internal Revenue Code of 1986 to improve portability and continuity of health insurance coverage in the group and individual markets, to combat waste, fraud, and abuse in health insurance and health care delivery, to promote the use ...
National Accreditation Board for Hospitals & Healthcare Providers, abbreviated as NABH, is a constituent board of Quality Council of India (QCI), set up to establish and operate accreditation programme for healthcare organizations. Formed in 2005, it is the principal accreditation for hospitals in India.
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