HEALTH CARE QUALITY IMPROVEMENT ACT Research how the Health Care Quality Improve
ID: 429503 • Letter: H
Question
HEALTH CARE QUALITY IMPROVEMENT ACT
Research how the Health Care Quality Improvement Act applies to physician credentialing and summarize what effects that may have on exclusion of medical staff privileges. Include a short list of Web sites and resources. Start your review by reading the Title IV-Health Care Quality Improvement Act of 1986 on the Social Security Online Web site.
You may also want to read about the national data bank reporting and explain how it fits into the law.
Also, comment on the Affordable Care Act Provider Screening and Enrollment requirements.
Explanation / Answer
Advance in medical technology that substantially improves, relative to technologies previously available, the diagnosis or treatment of Medicare beneficiaries. Applicants for the status of new technology must submit a formal request, including a full description of the clinical applications of the technology and the results of any clinical evaluations demonstrating that the new technology represents a substantial clinical improvement, along with data to demonstrate the technology meets the high cost threshold
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