Urac core standards 1 12 - Study guides, Class notes & Summaries

URAC Core Standards 1-12 Question and answers 2023/2024 verified to passCore 1 & 2 - correct answer requires company's mission statement; organizational structure; history of company and types of business it provides Core 3: Policies and Procedures - correct answer Must adopt p & p that reflects URAC standards and are reviewed annually Core 4: Regulatory Compliance - correct answer Must have regulatory compliance program that ensures applicable laws/regulations are complied with; must tr...

URAC Core Standards 1-12.

URAC Core Standards 1-12

Core 32- Senior Clinical Staff Responsiblities 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 1. Current unrestricted license 2. Qualification to perform clinical oversight 3. Post graduate experience 4. Board certification if MD, DO. 00:22 01:23 Core 33-Financial Incentive policy Written policy ...

CCM Glossary of Terms Exam 98 Questions with Verified Answers Care Mgmt - CORRECT ANSWER A healthcare delivery process that helps achieve better health outcomes by anticipating and linking clients with the services they need more quickly. It also helps avoid unnecessary services by preventing medical problems from escalating. Case Mgmt - CORRECT ANSWER A collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet an...

CCM Exam 315 Questions with Verified Answers HMO - CORRECT ANSWER health maintenance organization ACO - CORRECT ANSWER Accountable Care Organization Viatical Settlements - CORRECT ANSWER ability to sell own insurance policy CHAMPVA - CORRECT ANSWER Civilian Health and Medical Program of the Veterans Administrationtr CHAMPVA for Life - CORRECT ANSWER provides healthcare benefits to families of permanently disabled veterans, or killed in line of duty, not eligible for tricare. Cover...

Core 1 & 2 requires company's mission statement; organizational structure; history of company and types of business it provides Core 3: Policies and Procedures Must adopt p & p that reflects URAC standards and are reviewed annually Core 4: Regulatory Compliance Must have regulatory compliance program that ensures applicable laws/regulations are complied with; must track jurisdictional legislation; must respond promptly to detect problems and take corrective action.

CCM Glossary of Terms Exam 98 Questions with Verified Answers Care Mgmt - CORRECT ANSWER A healthcare delivery process that helps achieve better health outcomes by anticipating and linking clients with the services they need more quickly. It also helps avoid unnecessary services by preventing medical problems from escalating. Case Mgmt - CORRECT ANSWER A collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet an...

CCM Exam 315 Questions with Verified Answers HMO - CORRECT ANSWER health maintenance organization ACO - CORRECT ANSWER Accountable Care Organization Viatical Settlements - CORRECT ANSWER ability to sell own insurance policy CHAMPVA - CORRECT ANSWER Civilian Health and Medical Program of the Veterans Administrationtr CHAMPVA for Life - CORRECT ANSWER provides healthcare benefits to families of permanently disabled veterans, or killed in line of duty, not eligible for tricare. Cover...

  When choosing a community vendor to supply Durable Medical Equipment (DME) to a client, the most important factor is A-reliability, B-Proximity, C-Quality, D-Cost - Correct Answers: A-Reliability When conducting a survey or program evaluation, the easiest way to quantify are A-Descriptive informational questions, B-yes-no questions; C-Multiple choice questions, D-Rating scale - Correct Answers: B-yes no questions The primary purpose of the Caseload Matrix is caseload calculations to A...