Peer Review & Performance Improvement (#2) Flashcards

1
Q

Who is a peer?

A

A peer is an individual with similar training, background or credentials as the applicant.

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2
Q

Hospital PR Process

A

TJC: FPPE with peer review
HFAP: Peer review required (QAPI- Quality Assurance & Performance Improvement)
AAAHC: 2 peer reviews required for recredentialing

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3
Q

MCO PR Process

A

NCQA: P&P define process
URAC: Peer review when certification is not issued through initial clinical review or initial screening

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