JT Test 0.1

Test 1

Submited by: John Tarcza

The Basics

Testing        

Management Tips

Testing

Accreditation Tips

Testing

  • JT Test 0.1 / 04.10.2017

    Test 1

    Testing        

    READ FULL POST
  • Health Network 7.1 / 03.26.2017

    N-NM 17 - Participating Provider Suspension Mechanism for Consumer Safety

    The standard is for the special situation of a provider whose conduct is so egregious as to give rise to a well-founded concern by your medical director that the provider is posing a threat to the well-being of your members. This is a very important consumer safety standard. Not only must your medical director be freed from the requirement of taking such a dispute through the normal, often slow, d...

    READ FULL POST
  • Health Network 7.1 / 03.26.2017

    N-NM 16 - Disputes Involving Administrative Matters

    This standard requires that your organization have a mechanism for disputes with providers in your network for largely administrator disputes. Essentially, any provider disputes that are not covered by the previous standard or by the health utilization management appeals standards are covered here.The mechanism that your organization is required to have for such disputes is simply the right to bri...

    READ FULL POST
Top