Examples of National committee for quality assurance in a sentence
Verification Time Limit (VTL): National Committee for Quality Assurance (NCQA) counts back from the decision date to the verification date to assess timeliness of verification.
DMAS will begin the thorough functional operational and systems compliance reviews in 2021 to meet the three year federal requirement as found in 42 CFR 438.358(b)(iii) and will utilize the most recent CMS protocols for compliance reviews as well as Medallion 4.0 contract standards, Virginia also required the Medallion 4.0 managed careorganizations (MCOs) to attain and maintain the National Committee for Quality Assurance (NCQA) accreditation.
Complaints and Appeals Report In support of RCW 41.05.630, Contractor will submit an annual summary of its SEBB Complaints and Appeals data to HCA using the Complaint Categories reflected in section 5.7.9.3 or as defined by the National Committee for Quality Assurance.
All measures will require an audit conforming to audit standards and business processes defined by the National Committee for Quality Assurance for the calculation and reporting of HEDIS measures.
The first, the Hospital-Medical Home (H-MH) project, provided funding and performance incentives to hospital teaching programs in order to improve the coordination, continuity and quality of care for individuals receiving primary care in outpatient hospital settings and facilitate certification of such programs by the National Committee for Quality Assurance as patient-centered medical homes.This demonstration initiative ended on December 31, 2014.
Offer MA-PD coverage through a National PPO or Regional PPO Health Plan.2. At a minimum, ASB(s) must comply with all applicable CMS regulations for network adequacy for Medicare Advantage Organizations for all provider categories and service areas covered under the Contract.3. Use a network contracting and credentialing program consistent with National Committee for Quality Assurance (NCQA) or Utilization Review Accreditation Commission (URAC) accreditation standards.
The remaining have an established measure steward, such as National Committee for Quality Assurance (NCQA) or CMS, who have used rigorous metric vetting processes to establish use of the metrics for performance measurement and financial accountability of performance.
IEHPs Credentialing Subcommittee obtains meaningful advice and expertise from participating Practitioners when it makes credentialing decisions in accordance with National Committee for Quality Assurance (NCQA) guidelines.
According to the leading accrediting bodies (e.g., Joint Commission on Accreditation of Healthcare Organizations, National Committee for Quality Assurance, Utilization Review Accreditation Commission and Commission on Accreditation of Rehabilitation Facilities), accreditation entities take approximately 100 negative findings or actions per year against health care practitioners or health care entities.
Submit data to the National Committee for Quality Assurance (NCQA) or URAC through the Interactive Data Submission System (IDSS) or other NCQA-approved methods.