What is urac - Study guides, Class notes & Summaries

CPCS - Credentialing and Privileging Questions and Answers Rated A+ TJC Phone PSV What accreditation can use phone for PSV for all information including: licensure, education, training, experience, competence, and peer references LIP any individual permitted by law and by the hospital to provide patient care services w/o direction or supervision, LIP any individual permitted by law and by the hospital to provide patient care services w/o direction or supervision, TJC - DNV - HFAP Accreditatio...

CPCS Exam Questions and Answers 100% Correct What two accreditors state: a hospital may not rely solely on board certification when considering practitioner for medical staff membership? HFAP, CMS According to JC & HFAP name four approved sources PSV for Medical Education Medical School, AMA, ECFMG, AOA According to NCQA practitioners must be notified of credentialing decision within how many days? 60 Days The DHHS mails a copy of the NPDB report to the named provider. If the provider wishes...

Which of these is a setting a case manager may work in? A. Hospital B. Worker's compensation C. Neither D. Both correct answers D. Both Which is not an attribute of an aggressive negotiation style? A. Manipulation B. Frequent successful outcomes C. Unwillingness to make concessions D. Excessive demands correct answers B. Frequent successful outcomes What is the difference between ADL's and Instrumental Activities of Daily Living (IADL's)? A. ADL's are more challenging skills ...

What two accreditors state: a hospital may not rely solely on board certification when considering practitioner for medical staff membership? - HFAP, CMS According to JC & HFAP name four approved sources PSV for Medical Education - Medical School, AMA, ECFMG, AOA According to NCQA practitioners must be notified of credentialing decision within how many days? - 60 Days The DHHS mails a copy of the NPDB report to the named provider. If the provider wishes to dispute the reports accuracy, the prov...

What two accreditors state: a hospital may not rely solely on board certification when considering practitioner for medical staff membership? - HFAP, CMS According to JC & HFAP name four approved sources PSV for Medical Education - Medical School, AMA, ECFMG, AOA According to NCQA practitioners must be notified of credentialing decision within how many days? - 60 Days The DHHS mails a copy of the NPDB report to the named provider. If the provider wishes to dispute the reports accuracy, th...

CPMSM - Study Guide Material What are four models of HMOs? - Staff Model Group Model Network Model Independent Practice Association (IPA) What are the four types of committees? - Standing Ad hoc Task force Continuous quality improvement team How many medical staff members comprise a Bylaws Committee? - 5 At least five active medical staff How many medical staff members comprise a Credentials Committee? - 5 At least five active medical staff How many medical staff m...

URAC Prep Interview Questions 4.0 and answers correctly solved 2023/2024 What do you do if a temperature is out of range? - correct answer Notify my manager. What is your service area? - correct answer Describe the areas serviced and state licenses held by your pharmacy. What happens if you obtain a prescription outside your services area? - correct answer We will utilize our other Walgreens stores or our Central Specialty Pharmacy to meet the patient needs. What is the process of out o...

Applicant completes an application that includes, reasons for inability to perform, las of present illegal drug use, loss of license or felony convictions. Loss or limitation of privileges or disciplinary actions. Current malpractice insurance coverage, current signed attestation confirming the correctness and completeness of the application. If an application from an external entity is used it must include the questions and attestations as identified above. Signature stamps are not acceptable u...

CPMSM - Study Guide Material Questions and Answers Latest Updated What are four models of HMOs? Staff Model Group Model Network Model Independent Practice Association (IPA) What are the four types of committees? Standing Ad hoc Task force Continuous quality improvement team How many medical staff members comprise a Bylaws Committee? 5 At least five active medical staff How many medical staff members comprise a Credentials Committee? 5 At least five active ...

CPCS - Certified Provider Credentialing Specialist Questions and Answers 100% Pass Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? Yes According to TJC, who may amend the medical staff bylaws? Governing body/board. Failure to meet the established qualifications and criteria for appointment should be reported to whom? The applicant NCQA requires the MCO to obtain a minimum of how may years of work history? Five years According to the...