URAC question and answers graded A+ 2023 passed

URAC question and answers graded A+ 2023 passedCredentialing Program - correct answer covers all practitioners who are participating providers and are providing health care services Credentialing may be delegated to - correct answer 1. a contracted network 2. a group 3. a clinic Delegation oversight is required and delegated entity must be performing credentialing according to URAC standards URAC -The following credentials must be collected for health care facilities that are credentialed by the organization - correct answer 1. State licensure 2. Medicare or Medicaid certification status via OIG 3. Copy of the facility's liability insurance policy declaration sheet 4. Any other information necessary to determine if the facility meets the network-based health benefits plan participation criteria 5. A signed and dated attestation statement and authorization to collect information necessary to verify the information in the credentialing application Accreditation status (TJC, AAAHC, CARF, etc.) Who is responsible for Credentialing Program oversight? - correct answer The organization's senior clinical staff person is responsible for oversight of clinical aspects of the credentialing program. This should be an M.D. or D.O. unless it is a specialty network, in which case the senior staff person from the network can provide oversight. URAC - The credentials committee has final authority to - correct answer approve or disapprove applications