AHM-530 VCE Exam Download

An MRK covers the content of specific patient records of a provider.

The NCQA requires an examination of MRK with all of a health plan's office evaluations.

An MRR includes a review of the policies, procedures, and documentation standards the provider follows to create and maintain medical records.

The NCQA requires MRR for both credentialing and recredentialing of providers in a health plan's network.

Due process standard

Subrogation standard

Corrective action standard

Prudent layperson standard

Two measures of BH quality are patient satisfaction and clinical outcomes assessments.

For a health plan, one argument in favor of contracting with a managed behavioral healthcare organization (MBHO) is that the health plan's members can gain faster access to BH care.

In their contracts with health plans, managed behavioral healthcare organizations (MBHOs) usually receive delegated authority for network development and management.

Health plans generally compensate managed behavioral healthcare organizations (MBHOs) on an FFS basis.