Main

Q.

High level disinfection processes adhere to equipment and chemical manufacturers’ instructions. 

I.H.

At a minimum, all settings where sedation or anesthesia is administered should have the following equipment for resuscitation purposes:

I.Q.

A written policy outlines appropriate hand hygiene using products according to the product manufacturer’s instructions for use 

I.B.02

Based on nationally-recognized infection prevention and control guidelines considered and selected by the governing body. 

III.C.

In solo physician or dental organizations, an outside physician or dentist is involved to provide peer-based review. 

II.B.5.b

Upon reciept of a completed reappointment application, the organization will conduct primary or secondary source verfication items listed in Standards 2.II.B.3.c-f.  At the time of reappointment consideration by the governing body, the entire reappointment application and the peer review activities and results, completed in accordance with Chapter 2.III, will be considered.

Notes: 
UC Policy
Location: 
Credentialing of Professional Staff

II.B.5.a

Completion of a formal reappointment application which includes, at a minumum:

1. Updated personal information

2. Completed attestation questions found in 2.II.B.3.g.

3. A formal statement releasing the organization from any liability in connection with credentiallng decisions

4. A formal statement confirming that the information submitted is accurate and complete

5. Applicant signature and date

Notes: 
UC Policy
Location: 
Credentialing of Professional Staff

ORTHO SLIPS

Effective Date: 
Tue, 11/22/2016
Policy: 

Ortho slips are checked to ensure billing is complete.

Procedure: 
  • Acquire ortho slips and sort by date and patient
  • Open visit note for that patient and date
  • Review visit note for appropriate documentation and billing.  Search under supplies (already billed) and in the body of the note, under Nursing, in Activity and in any Addendum
  • If documented and billed, securely shred ortho slip
  • If documented and NOT billed: Add addendum stating "Dispensed certain product (with code number on line 2)
  • IM biller to alert to add product to patient ticket
  • Securely shred completed ortho slips 
  • If NOT documented, review visit and if probable, add addendum to complete the documentation with product and code number, then IM biller to alert to add product to patient ticket
  • If not probable, then IM the clinician to ask if dispensed to patient; follow up as necessary
  • Securely shred completed ortho slips 

MEDICAL CODING AND BILLING COMPLIANCE

Effective Date: 
Thu, 10/06/2016
Policy: 

The University of California Santa Cruz Student Health Services complies with the OIG Medical Billing and Coding Compliance Requirements.  Staff are trained and updated regularly (note: ICD-10).  These include the seven components for a voluntary compliance program:

• Conducting internal monitoring and auditing;

• Implementing compliance and practice standards;

• Designating a compliance officer or contact;

• Conducting appropriate training and education;

• Responding appropriately to detected offenses and developing corrective action;

• Developing open lines of communication; and

• Enforcing disciplinary standards through well-publicized guidelines

The compliance guidelines are available via the attached link.

MONTHLY PAPR BATTERY CHECK

Form Type: 
HC
Form Number: 
951
Syndicate content