Differentiate between licensure, certification, and accreditation as it applies to healthcare facilities.
Include the following in the discussion:
REPLY TO MY CLASSMATE’S DISCUSSION TO THE ABOVE QUESTION AND EXPLAIN WHY YOU AGREE. (MINIMUM OF 200 WORDS EACH)
Licensure, certification, and accreditation allow healthcare organizations to market themselves to patients to seek care there (Wager, Lee, & Glaser, 2017). Healthcare facilities, including hospitals, nursing homes, and home health agencies, can optimize their reimbursement for health services for medicaid and medicare patients must be licensed to operate, certified to file Medicare/Medicaid claims, and accredited to show quality performance. Quality performance is measured and categorized by type, structure, process, outcome, and patient experience. Licensure is given by a states health department and is needed to legally operate in that state. To be a licensed facility they must follow standards for equipment and personnel, and protection, integrity, and reliability of patient health information. CMS certification creates standards for conditions of participation for Medicare/Medicaid patients. These conditions include documentation standards, assessment requirements and outcomes inorder receive reimbursement for Medicare or Medicaid patients, however, private insurance companies follow CMS’s lead for reimbursement standards. Accreditation is a voluntary process and involves an external review by an accreditation organization to see if the facility has met predetermined performance standards. An accredited facility can be exempt from state surveys for CMS compliance (Wager, Lee, & Glaser, 2017).
These three type of regulations on healthcare facilities impact information systems by creating minimum standards that facilities to follow (Wager, Lee, & Glaser, 2017). Licensure requires the protection of patient health information. Patient health information needs to be reliable and maintain integrity to obtain licensing to operate. Certification creates further standards on how and what should be documented. Accreditation organizations such as the Joint Comission also create standards for documentation and protection of patient health information (Wager, Lee, & Glaser, 2017).
Patients can recognize whether a facility has these three regulations because their insurance or Medicare/Medcaid will not cover organizations who are not licensed or certified. Many facilities advertise their accredition to place them above other facilities.
Wager, K. A., Lee, F. W., & Glaser, J. P. (2017). Health Care Information Systems: A Practical Approach for Health Care Management (4th Edition). Wiley Professional Development (P&T). https://ambassadored.vitalsource.com/books/9781119337089
Why Work with Us
Top Quality and Well-Researched Papers
We always make sure that writers follow all your instructions precisely. You can choose your academic level: high school, college/university or professional, and we will assign a writer who has a respective degree.
Professional and Experienced Academic Writers
We have a team of professional writers with experience in academic and business writing. Many are native speakers and able to perform any task for which you need help.
Free Unlimited Revisions
If you think we missed something, send your order for a free revision. You have 10 days to submit the order for review after you have received the final document. You can do this yourself after logging into your personal account or by contacting our support.
Prompt Delivery and 100% Money-Back-Guarantee
All papers are always delivered on time. In case we need more time to master your paper, we may contact you regarding the deadline extension. In case you cannot provide us with more time, a 100% refund is guaranteed.
Original & Confidential
We use several writing tools checks to ensure that all documents you receive are free from plagiarism. Our editors carefully review all quotations in the text. We also promise maximum confidentiality in all of our services.
24/7 Customer Support
Our support agents are available 24 hours a day 7 days a week and committed to providing you with the best customer experience. Get in touch whenever you need any assistance.
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
No need to work on your paper at night. Sleep tight, we will cover your back. We offer all kinds of writing services.
No matter what kind of academic paper you need and how urgent you need it, you are welcome to choose your academic level and the type of your paper at an affordable price. We take care of all your paper needs and give a 24/7 customer care support system.
Admission Essays & Business Writing Help
An admission essay is an essay or other written statement by a candidate, often a potential student enrolling in a college, university, or graduate school. You can be rest assurred that through our service we will write the best admission essay for you.
Our academic writers and editors make the necessary changes to your paper so that it is polished. We also format your document by correctly quoting the sources and creating reference lists in the formats APA, Harvard, MLA, Chicago / Turabian.
If you think your paper could be improved, you can request a review. In this case, your paper will be checked by the writer or assigned to an editor. You can use this option as many times as you see fit. This is free because we want you to be completely satisfied with the service offered.