Urac standards - Study guides, Class notes & Summaries

CPMSM QUESTIONS AND ANSWERS FULLY SOLVED HFAP stands for? Healthcare Facilities Accreditation Program (Accrediting organization for AOA. Provides accreditation programs for primarily osteopathic hospitals) The following bodies approves clinical privileges? Governing Body or Board Brainpower Read More Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:00 Full screen Which NCQA-required committee makes recommendations regarding credentialin...

URAC STANDARDS Question and answers 2023/2024 verified to passCore 32- Senior Clinical Staff Responsibilities - correct answer 1. Provide guidance for clinical operations. 2. Responsible for oversight of clinical decision-making aspect of program 3. Periodic consultation with practitioners in field Core 31- Senior Clinical Staff requirements - correct answer 1. Current unrestricted license 2. Qualification to perform clinical oversight 3. Post graduate experience 4. Board certification i...

URAC STANDARDS

URAC STANDARDS

URAC STANDARDS

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 ...

URAC STANDARDS EXAM WITH 100% CORRECT ANSWERS 2023

URAC STANDARDS questions correctly answered rated A+ 2023 Core 32- Senior Clinical Staff Responsiblities - correct 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 - correct answer 1. Current unrestricted license 2. Qualification to perform clinical oversight 3. Post graduate experience 4. Board certification if MD...

Steps used to control costs of managed care include: - ANSWER-Bundled codes Capitation Payer and Provider to agree on reasonable payment DRG is used to classify - ANSWER-Inpatient admissions for the purpose of reimbursing hospitals for each case in a given category w/a negotiated fixed fee, regardless of the actual costs incurred Identify the various types of private health plan coverage - ANSWER-HMO Conventional PPO and POS HDHP/SO plans - high-deductible health plans with a savings...

URAC STANDARDS