Principle 1 Entity Compliance and Noncompliance

Question 1

42CFR Part 848

Answer 1

Requirements for home Health Agencies (this is the tag used when a facility is in compliance)

Question 2

42CFR Part 483

Answer 2

Requirements for long term care facilities. ( This is the tag used when a nursing home is in complete compliance

Question 3

Statutes and implementing regulations

Answer 3

are the legal authority for determining an entity’s compliance or non compliance with Federal requirements for participation or coverage in Medicare, Medicaid and CLIA

Question 4

CMS-2567

Answer 4

1) Official document that communicates the determination of compliance or non compliance with federal requirements
2) Form that an entity uses to submit a plan to achieve compliance
3) Official record
4) Is Available to the public upon request

Question 5

SNF/NF

Answer 5

If the providers noncompliance is isolated and does not pose a risk of more than minimal harm (S/S=A), the deficiency is cocumented on the A Form “Statement of Isolated Deficiencies Which Cause no Harm with only a Potential for minimal harm for SNFs and NFs”

The cocumentation on the Form CMS2567L would state the SNF/NF is in substantial compliance

Question 6

“A” Form

Answer 6

Statement of Isolated Deficiencies which cause no harm with only a potential for minimal harm for SNFs and NFs

Question 7

S/S= B, C

Answer 7

A nursing home is in substantial compliance but has deficiencies other than the isolated deficiencies which cause no harm with only a potential for minimal harm, the deficiencies are documented on the form CMS-2567-L and no additional language regarding substantial compliance is entered on the Form CMS-2567L