Cmom module 5 - Study guides, Class notes & Summaries
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CMOM Module 5 Questions with Answers
- Exam (elaborations) • 6 pages • 2024
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CMOM Module 5 Questions with Answers 
MCO Coordinator functions - Answer-1) Patient training and education 
2)HMO intermediary 
3)Hospitalization approvals and discharge planning 
4) coordinating referrals 
5)patient satisfaction surveys 
6)coordinating with physician in utilization review committee 
7)coordinating quality assurance data needed by MCO or other regulatory agency 
 
Utilization review committee - Answer-should be used to review all cases which may need to be referred to a speciali...
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CMOM Module 5 Exam | Questions And Answers Latest {2024- 2025} A+ Graded | 100% Verified
- Exam (elaborations) • 8 pages • 2024
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CMOM Module 5 Exam | Questions And Answers Latest {} A+ Graded | 100% 
Verified
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CMOM Module 5| with Questions & Correct Verified Answers
- Exam (elaborations) • 8 pages • 2024
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Credentialing - verifies that a physician meets standards through the review of license, 
experience, certification, education, training, malpractice and adverse clinical occurrences, 
clinical judgement and character via investigation and observation 
Privileging - Defines a physician's scope of practice and the clinical services he or she may 
provide 
Council for Affordable Quality HealthCare (CAQH) - not-for-profit collaborative alliance of 
health plans and networks which offers a standard...
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CMOM Module 5| with Questions & Correct Verified Answers
- Exam (elaborations) • 9 pages • 2024
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CMOM Module 5| with Questions & 
Correct Verified Answers
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CMOM Certification Study Set Module 4 Questions and Answers
- Exam (elaborations) • 10 pages • 2024
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CMOM Certification Study Set Module 4 Questions and Answers 
Medicare Incentive Reward Program (IRP) - Answer-established to pay an incentive reward to individuals who provide information on Medicare fraud and abuse or other sanctionable activities 
 
Medicare Contract Statutory Obligations - Answer-Services must be furnished (1) economically and only when and to the extent (2) medically necessary; of a (3) quality that meets professionally recognized standards of health care; and (4) supported ...
And that's how you make extra money
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PMI CMOM Module 4 Questions with Answers
- Exam (elaborations) • 8 pages • 2024
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PMI CMOM Module 4 Questions with Answers 
Health Care/Health Care Provider - Answer-Care, services or supplies related to health of individual. Preventative, diagnostic, therapeutic, rehabilitative or palliative care and counseling, service, assessment or procedure. Dispensing of prescriptions. 
 
Provider of medical or health services, and any person or organization who furnishes, bills or is paid for health care 
 
Heath Information - Answer-Any information oral or recorded in any form or med...
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Bundle For CMOM Exam Questions with Answers All Correct
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CMOM Exam Questions with Answers All Correct

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CMOM Management Institute Practice Test Questions and Answers

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CMOM Exam Questions with Correct Answers

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CMOM Module 5 Questions with Answers

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CMOM 2024 Exam Questions with Answers

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CMOM Module
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