Federal Government Payer Program

A. Discuss how Medicare certification affects healthcare delivery based on the Conditions of Participation. 1.  Explain the difference between accreditation and licensing for healthcare organizations.

 

B.  Explain the relationship between a quality reporting system and reimbursement for healthcare services (e.g., Merit-Based Incentive Payment System and value-based care). 1.  Discuss how patient Medicare eligibility requirements influence the types of healthcare services available to patients. 

 

C.  Discuss one example of federal legislation that affects the provision of healthcare services.