Examples of alternative healthcare practitioners are chiropractors, naturopaths, and acupuncturists. The only well-established credentialing standards for alternative healthcare practitioners are those available from NCQA. These NCQA credentialing standards apply to
Determine whether the following statement is true or false:
All health plans participating in the Federal Employee Health Benefits Program (FEHBP) are required to use the Consumer Assessment of Health Plans (CAHPS) to measure customer satisfaction.
The following statement(s) can correctly be made about utilization guidelines:
1. When developing utilization guidelines, health plans balance evidence-based criteria with experience-based criteria
2. Utilization guidelines indicate when a UR nurse should refer a decision to a physician reviewer
The following statement(s) can correctly be made about the use of screening for secondary prevention:
1. Screening activities may involve specialty care providers as well as primary care providers (PCPs) and the health plan
2. Secondary prevention often results in more utilization of services immediately following screening
3. Screening focuses on members who have not experienced any symptoms of a particular illness
TESTED 23 Feb 2025
