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The Knights Health Plan is undergoing an accreditation review by the National Committee for Quality Assurance...
The Knights Health Plan is undergoing an accreditation review by the National Committee for Quality Assurance (NCQA). Which of the following will the NCQA be reviewing? Group of answer choices
Utilization management appeals policies
All of the answers are correct
Provider credentialing policies
The health plan’s performance through HEDIS data
Solutions
Expert Solution
Answer-
The correct Option is All of the answers are correct.
Below are the parameters for accreditation review of National Committee for Quality Assurance (NCQA) for health review.
The National Committee for Quality Assurance (NCQA) will be reviewing Utilization management appeals policies, Provider credentialing policies, The health plan’s performance through HEDIS data.
The other parameters are Quality Oversight & Governance, Population Health Management and Member Experience which will be reviewed for standards scoring.
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