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.
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
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