CHBT Regulatory Compliance and Documentation

Question 1

Which federal agency sets the Conditions for Coverage (CfC) that dialysis facilities must meet to receive Medicare reimbursement?

Accepted Answer

Centers for Medicare & Medicaid Services (CMS)

Answer

The Joint Commission (TJC)

Answer

Occupational Safety and Health Administration (OSHA)

Answer

Food and Drug Administration (FDA)

Question 2

AAMI (Association for the Advancement of Medical Instrumentation) standards most directly govern which aspect of dialysis facility operations?

Accepted Answer

Water treatment and dialysate quality standards

Answer

Patient staffing ratios

Answer

Billing and coding practices

Answer

Physician prescribing authority

Question 3

How frequently must hemodialysis facilities conduct water quality testing for bacteria and endotoxins per AAMI recommendations?

Accepted Answer

Monthly for bacteria; monthly for endotoxins, with cultures drawn from multiple points in the water distribution system

Answer

Annually

Answer

Only when a patient has a pyrogenic reaction

Answer

Weekly for conductivity; annually for bacteria

Question 4

Under OSHA's Bloodborne Pathogens Standard, dialysis facilities are required to offer hepatitis B vaccination to employees:

Accepted Answer

At no cost to the employee, within 10 working days of initial assignment to a job with occupational exposure

Answer

Only after an exposure incident occurs

Answer

Only to full-time employees

Answer

At the employee's expense if they choose to receive it

Question 5

What is the purpose of the CMS ESRD Quality Incentive Program (QIP)?

Accepted Answer

To link Medicare payment to dialysis facility performance on quality measures, with payment reductions for poor performance

Answer

To certify biomed technicians nationally

Answer

To regulate water treatment equipment manufacturers

Answer

To set staffing ratios for nursing staff

Question 6

Which document must be completed and maintained for every chemical used in a dialysis facility per OSHA Hazard Communication standards?

Accepted Answer

Safety Data Sheet (SDS)

Answer

Exposure Control Plan

Answer

Material Requisition Form

Answer

Equipment Service Log