URAC STANDARDS questions correctly answered rated A+ 2023

URAC STANDARDS questions correctly answered rated A+ 2023 Core 32- Senior Clinical Staff Responsiblities - correct answer 1. Provide guidance for clinical operations . 2. Responsible for oversight of clinical decision-making aspect of program 3. Periodic consultaiton with practitioners in field Core 31- Senior Clinical Staff requirements - correct answer 1. Current unrestricted license 2. Qualification to perform clinical oversight 3. Post graduate experience 4. Board certification if MD, DO. Core 33-Financial Incentive policy - correct answer Written policy on how the organization will deal with incentives or bonus that will ensure that consumer healthcare is not compromised. Core 34- Access to services - correct answer Written policy that documents procedures to ensure access to services covered by the accreditation Core 35- Consumer Complaint Process - correct answer 1. Policy to address: a. Process of recieving and responding to a complaint. B. notice of final result with explanation. C. Informs consumers of the avenues to seek further review. D. evidence of meeting the organization specified time frames Core 36- coordination with external entities - correct answer Implements mechanisms to promote collaboration and comunication with external entities to coordinate services for consumers. Core 37- Consumers rights and responsibilities - correct answer Organization implements a mechanism for informing consumers of their rights and responsiblities Core 38- Consumer Safety Mechanism - correct answer Organization has a mechanism to respond on an urgent basis to situations that pose an immediate threat to the health and safety of consumers. Core 39-Consumer satisfaction - correct answer Consumer satisfaction Core 40- Health Literacy - correct answer Policy- require materials to be in plain language CM 2 -Case manager Case load - correct answer Establish guidelines for reasonable caseload with supporting rational. Ongoing process to monitor caseload based on guidelines. How does the organization monitor volume of cases to ensure appropriate casemanager workload? -