Urac 1 - Study guides, Class notes & Summaries

URAC Question and answers rated A+ 2023/2024Credentialing Program - correct answer covers all practitioners who are participating providers and are providing health care services Credentialing may be delegated to - correct answer 1. a contracted network 2. a group 3. a clinic Delegation oversight is required and delegated entity must be performing credentialing according to URAC standards URAC -The following credentials must be collected for health care facilities that are credentialed ...

CPCS Certified Provider Credentialing Specialist (2023/2024) Graded A What elements should a peer recommendation include according to TJC? Patient Care, medical clinical knowledge, practice based learning, interpersonal and communication skills, system-based practice Peer recommendations according to NCQA There is no specific requirement for peer recommendations. The organization must designate a Credentialing Committee that uses a peer-review process to make recommendations regarding credentia...

Exam (elaborations) NR 599 (NR599) (NR 599 (NR599)) /NR 599 (NR599NR 599 Week 4 Midterm Exam GUIDE: (Summer 2020 NR 599 Week 4 Midterm Question 1 2 / 2 pts The nurse understands that nursing informatics is recognized as a specialty area of practice by which statement? (CO 7) There is a need for nursing informatics interests to gain representation by work groups and organizations within the United States. The use of information and computer technology as...

URAC Team Member Preparation Questions 1-75

NCQA - ANSWER National Committee for Quality Assurance Which of the 7 accreditation bodies require appointment time frames no greater than 3 years AND base their cycle to the MONTH and NOT the day. - ANSWER NCQA & URAC (National Committee of Quality Assurance AND Utilization Review Accreditation Commission ) Which of the 7 accreditation bodies makes the RECOMMENDATION appointment timeframe be at LEAST 24 months, in the absence of a State law. - ANSWER CMS, HFAP, DNV, and AAAHC TJC - ANS...

1. The BoP is under the Dept of ___ 2. The Agency for Health Care Admin Division of Quality Assurance deals with ___ and ___ 3. The State Ins Commissioner ensures ___ with state laws 4. Most pharmacy laws regulated at ___ level correct answers1. Health 2. Medicare/caid 3. compliance 4. state 1. Accreditation: ___ standards 2. Joint Commission deemed status for ___ 3. Natl Cmte on Quality Assurance (NCQA) utilizes Healthcare Effectiveness Data and Info Set to evaluate ___ 4. Utilizati...

CPCS Exam- Studying for Success Toolkit - Comparing Similarities & Differences NCQA - National Committee for Quality Assurance Which of the 7 accreditation bodies require appointment time frames no greater than 3 years AND base their cycle to the MONTH and NOT the day. - NCQA & URAC (National Committee of Quality Assurance AND Utilization Review Accreditation Commission ) Which of the 7 accreditation bodies makes the RECOMMENDATION appointment timeframe be at LEAST 24 months, in the ...

According to URAC who should oversee the clinical aspects of the credentialing program within the organization? - Senior Clinical Staff Person Name 3 sources of verification of education of a dentist according to NCQA - Dental school, specialty board, state licensing board NCQA requires MCO's to recredential practitioners at least every - 3 years HFAP is commonly known as - AOA, an osteopathic organization T/F No accreditation body requires verification of malpractice insurance - True Wh...

According to URAC who should oversee the clinical aspects of the credentialing program within the organization? - Senior Clinical Staff Person Name 3 sources of verification of education of a dentist according to NCQA - Dental school, specialty board, state licensing board NCQA requires MCO's to recredential practitioners at least every - 3 years HFAP is commonly known as - AOA, an osteopathic organization T/F No accreditation body requires verification of malpractice insurance - True Wh...

CPCS Exam- Studying for Success (Toolkit - Comparing Similarities & Differences) with Complete SolutionsCPCS Exam- Studying for Success (Toolkit - Comparing Similarities & Differences) with Complete SolutionsCPCS Exam- Studying for Success (Toolkit - Comparing Similarities & Differences) with Complete Solutions NCQA - ANSWER-National Committee for Quality Assurance Which of the 7 accreditation bodies require appointment time frames no greater than 3 years AND base their cycle to the MONTH ...