Work urac audit 2024 - Study guides, Class notes & Summaries

WORK - URAC Audit | Questions with 100% Correct Answers | Latest Update 2024 | Verified

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...

WORK - URAC Audit Questions | 110 Questions and Correct Solutions What is your involvement in patient management? - Answer -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? - Answer -During initial counseling - we discuss the importance of medication compliance, refill reminder calls, recommendations to alleviate any side effe...

Are limitations of the clinical privileges of a psychiatrist for more than 30 days reportable to the NPDB? - Yes According to The Joint Commission, who may amend medical staff bylaws? - Medical Staff 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 years of work history? - Five years According to NCQA what policy must an organization have in place to obtain approval to enter in...

WORK - URAC Audit Questions with 100% Correct Answers | Latest Update 2024 | Verified