Urac standards - Study guides, Class notes & Summaries

URAC STANDARDS

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...

URAC Accreditation Quiz How do you (or the organization) provide oversight to ensure the company is compliant with applicable laws and regulations? - 1) Review the policies and procedures to confirm that we are accurately following the standard regulations. 2)The Compliance team conducts internal audits and reviews all POPs for regulatory compliance and accuracy. If you participate in multiple states, how are staff trained to resolve variations in processes that impact their job fun...

CPCS/CPMSM Exam Questions and Answers Graded A+ 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 identi...

What must the application include per URAC? - Disclosure of any physical, mental or substance abuse problems that could, without reasonable accommodation, impede the practitioners ability to adhere to the accepted standards of professional performance or pose a threat to the health or safety of patients. Per URAC organizations must verify the qualifications of all AHPs that? - Provide clinical services to consumers through a written agreement with the organization Per URAC who must be cred...

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 Exam 2023 Latest Update MCO acronym for - Managed Care Organization - main accreditors: NCQA, URAC NAMSS acronym for - National Association of Medical Staff Services CPCS acronym for - Certified Provider Credentialing Specialist CVO acronym for - Credential Verifications Organization HEDIS acronym for - Healthcare Effectiveness Data Information Set CAHPS acronym for - Consumer Assessment of Healthcare Providers & Systems Structure of a CVO - Director - Contract Sales - Credentialing ...

CPCS 2022 Fall Study (Accred Grid+Roberts Rules+Practice Exams) Already Passed True or False: According to The Joint Commission, the applicant's ability to perform privileges requested must be evaluated and this evaluation must be documented in the credentials file. True 2 MULTIPLE CHOICE OPTIONS According to HFAP – information regarding ability to perform is requested for each a. Applicant b. Applicant & Re-applicant c. Re-applicant Applicant & Reapplicant True or False: According to ...

CPCS Exam 2023 Already Graded A MCO acronym for Managed Care Organization - main accreditors: NCQA, URAC NAMSS acronym for National Association of Medical Staff Services CPCS acronym for Certified Provider Credentialing Specialist CVO acronym for Credential Verifications Organization HEDIS acronym for Healthcare Effectiveness Data Information Set CAHPS acronym for Consumer Assessment of Healthcare Providers & Systems Structure of a CVO Director - Contract Sales - Credentialing Staff - Huma...