UM/QM POLICIES AND PROCEDURES; PREAUTHORIZATION. Manager shall assist Group in the development of utilization management, quality management and risk management policies and procedures for Group and Group Physicians. Manager shall assist Group in the development of preauthorization protocols for the administration of care under Capitated Agreements, other Group Agreements in which Group is permitted to authorize care and for fee-for-service Patients. Manager shall administer all such policies and protocols under the direction and supervision of Group.
Appears in 4 contracts
Samples: Management Services Agreement (Talbert Medical Management Holdings Corp), Management Services Agreement (Talbert Medical Management Holdings Corp), Management Services Agreement (Talbert Medical Management Holdings Corp)
