What is urac - Study guides, Class notes & Summaries

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 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 ...

HOM 5307 Exam 2 What technique is used by many pharmaceutical companies with health plans and PBMs to increase formulary access and utilization of specific products? A- Rebates for preferred formulary position B- Health economic data, including a growing number of head-to-head clinical trials C- Member copayment coupons to offset copayment D- All the above - D- all of the above T/F Recent legislation encourages separate lifetime limits for behavioral care. - false T/F The...

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

CPCS Exam 2023 A+ What two accreditors state: a hospital may not rely solely on board certification when considering practitioner for medical staff membership? - ANS-HFAP, CMS According to JC & HFAP name four approved sources PSV for Medical Education - ANS-Medical School, AMA, ECFMG, AOA According to NCQA practitioners must be notified of credentialing decision within how many days? - ANS-60 Days The DHHS mails a copy of the NPDB report to the named provider. If the provider wishes t...

URAC Exam Prep Questions PATIENT CARE Have the intake technician explain the electronic prescribing prescription intake process. - Practice touring the pharmacy, explain each work station, introduce team members and what their primary responsibility is during prescription intake. PATIENT CARE Have a Pharmacist describe how they verify a prescription and conduct the Initial Assessment. - The Pharmacist conducts a Prescription Data Review and DUR during prescription processing. In addi...

URAC Prep/Interview Questions 4.0 questions well answered 2023What 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 of stock or ...

URAC 4.0 Questions with complete solution 2023/2024 Can the intake technician explain the prescription intake process? - correct answer Teams should practice touring the pharmacy, explain each work station, introduce team members and describe what their primary responsibility is during prescription intake. Can the pharmacist describe how they verify a prescription and when to conduct the Initial Assessment? - correct answer The Pharmacist conducts a Prescription Data Review and DUR during pr...

CPCS/CPMSM EXAM QUESTIONS AND ANSWERS 100% CORRECT CPCS/CPMSM EXAM QUESTIONS AND ANSWERS 100% CORRECT CPCS/CPMSM EXAM QUESTIONS AND ANSWERS 100% CORRECT CPCS/CPMSM EXAM QUESTIONS AND ANSWERS 100% CORRECT 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 th...

1. The nurse understands that nursing informatics as a specialty area of practiced by which statement? Research priorities for nursing informatics includes the development of a standard nursing language and the development of databases for clinical information 2. Which statement by the nurse verifies that nurse is “information literate”? I understand how to research for a website and evaluate its usefulness for health care needs 3. What is information? Data that can be interpreted. E...