Work urac audit - Study guides, Class notes & Summaries

WORK - URAC AUDIT QUESTIONS WITH THE CORRECT ANSWERS UPDATED FULLY.

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...

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...

URAC 3.0 Preparation Audit Questions with Complete Solutions Patient Care: What is your involvement in Patient Management? Patient Management involves prescription dispensing, reimbursement, counseling and patient clinical care activities we do. My involvement depends on the role I am assigned for the day. Patient Care: How do we promote drug adherence? Initial counseling on the importance of compliance, refill reminder calls, recommendations to alleviate any side effects, and assistance obtain...

What is your involvement in patient management? - Patient management involves prescription dispensing, reimbursement, counseling, and pt clinical care activities we do. My involvement depends on the role I am assigned for the day. How do we promote drug adherence? - During initial counseling - we discuss the importance of medication compliance, refill reminder calls, recommendations to alleviate any side effects, and assistance obtaining financial assistance as needed. How do you collabora...

What is your involvement in patient management? - Patient management involves prescription dispensing, reimbursement, counseling, and pt clinical care activities we do. My involvement depends on the role I am assigned for the day. How do we promote drug adherence? - During initial counseling - we discuss the importance of medication compliance, refill reminder calls, recommendations to alleviate any side effects, and assistance obtaining financial assistance as needed. How do you collabora...

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...

URAC 3.0 Preparation Audit Questions and answers graded A+ passed Patient Care: What is your involvement in Patient Management? - correct answer Patient Management involves prescription dispensing, reimbursement, counseling and patient clinical care activities we do. My involvement depends on the role I am assigned for the day. Patient Care: How do we promote drug adherence? - correct answer Initial counseling on the importance of compliance, refill reminder calls, recommendations to allevia...

What is your involvement in patient management? correct answersPatient management involves prescription dispensing, reimbursement, counseling, and pt clinical care activities we do. My involvement depends on the role I am assigned for the day. How do we promote drug adherence? correct answersDuring initial counseling - we discuss the importance of medication compliance, refill reminder calls, recommendations to alleviate any side effects, and assistance obtaining financial assistance as neede...

URAC 4.0 Quality management Question and answers correctly solved 2023/2024What is involved in Quality Management? - correct answer We report any incidents, complaints, or problems to the pharmacist or our manager. We utilize the peer review process if any error occurred and work as a team to improve. How do you define a complaint? - correct answer Any expression of dissatisfaction by a customer/prescriber. How are complaints/suggestions handled? - correct answer Complaints/suggestions rec...