Utilization review accreditation commission (URAC) Test Bundle

What is URAC? - Answer It is a non profit organization that helps to promote healthcare quality through the accreditation of organizations involved in medical care services. URAC, how many years before the next credentialing? - Answer URAC gives up to three years What happens after three yea...

Credentialing Program - Answer covers all practitioners who are participating providers and are providing health care services Credentialing may be delegated to - Answer 1. a contracted network 2. a group 3. a clinic Delegation oversight is required and delegated entity must be performing ...

How do you (or the organization) provide oversight to ensure the company is compliant with applicable laws and regulations? - Answer 1) Review the policies and procedures to confirm that we are accurately following the standard regulations. 2)The Compliance team conducts internal audits and revie...

Tell me about how your site will function if the facility is affected by a disaster? - Answer Business Continuity Management (BCM) document that addresses disasters across all sites. Tabletop tests done annually We can redirect shipments and shift tasks, as needed, to other facilities Ge...

Core 32- Senior Clinical Staff Responsiblities - Answer 1. Provide guidance for clinical operations . 2. Responsible for oversight of clinical decision-making aspect of program 3. Periodic consultaiton with practitioners in field Core 31- Senior Clinical Staff requirements - Answer 1. Curre...

Who has access to the controlled substances? - Answer Only pharmacists Who has access to the pharmacy? - Answer Access is limited to pharmacists and technicians. How do you know if a recalled drug is currently being processed for an order and is still in the pharmacy in a tote or packed? -...

What do you do if a temperature is out of range? - Answer Notify my manager. What is your service area? - Answer Describe the areas serviced and state licenses held by your pharmacy. What happens if you obtain a prescription outside your services area? - Answer We will utilize our other ...

• What are your job functions/tasks? - Answer o No patient counseling, only Order Entry, Filling and Packaging. • Do you know what your job description is? How is this defined? How is this updated? How are you assessed on your daily functions? - Answer o Job Description: is "Assists the ...

PATIENT CARE Have the intake technician explain the electronic prescribing prescription intake process. - Answer Practice touring the pharmacy, explain each work station, introduce team members and what their primary responsibility is during prescription intake. PATIENT CARE Have a Pharmaci...

PPX URAC staff interview questions: Consultant mock-validation with correct answers

What must the application include per URAC? - Answer Disclosure of any physical, mental or substance abuse problems that could, without reasonable accommodation, impede the practitioners ability to adhere to the accepted standards of professional performance or pose a threat to the health or safet...