External Quality Review Organization definition

External Quality Review Organization and “EQRO” each means an organization that meets the competence and independence requirements set forth in 42 CFR 438.354 and performs external quality review, other EQR-related activities as set forth in 42 CFR 438.358 or both.
External Quality Review Organization means the independent contractor assigned by DMAS to handle quality reviews and to conduct final review of MCHIP adverse actions for FAMIS.
External Quality Review Organization means the independent contractor assigned by

Examples of External Quality Review Organization in a sentence

  • The readiness review activities will be conducted by the Department’s External Quality Review Organization (EQRO), and/or by a multidisciplinary team appointed by the Department.


More Definitions of External Quality Review Organization

External Quality Review Organization. An organization that meets the competence and independence requirements set forth in § 438.354, and performs external quality review, other EQR-related activities as set forth in § 438.358, or both.
External Quality Review Organization that has a contract with the Department to perform federally required oversight and monitoring of the quality assurance component of managed care. Quality oversight and monitoring shall include, but is not limited to, annual onsite review, attendance at one of the quality assurance meetings, and ongoing monitoring of quality outcomes and timeliness of, and access to, the Covered Services.
External Quality Review Organization means an organization that meets the competence and independence requirements under Code of Federal Regulations, part 42, section 438.354, and performs external quality review and may perform other external quality review-related activities as required under Code of Federal Regulations, part 42, section 438.358.
External Quality Review Organization or "EQRO" means an organization that meets the competence and independence requirements set forth in 42 CFR 438.354 and performs external quality reviews, other external quality review related activities as set forth in 42 CFR 438.358, or both.
External Quality Review Organization or “EQRO” An organization that meets the competence and independence requirements set forth in 42 C.F.R. § 438.354 and performs external quality review, and other EQR related activities as set forth in 42 C.F.R. § 438.358, or both. “Family Planning” Those necessary services that delay or prevent pregnancy. Coverage of such services shall not include services to treat infertility or services to promote fertility.
External Quality Review Organization or “EQRO” has the meaning as defined in 42 C.F.R. § 438.320.
External Quality Review Organization or “EQRO” shall mean an organization that meets the competence and independence requirements set forth in 42 C.F.R. § 438.354, and performs external quality review, other EQR-related activities as set forth in 42 C.F.R. § 438.358, or both (42 C.F.R. § 438.320).