NCQA working towards common standards for HMOs, PPOs
Credentialing Resource Center Connection, August 17, 2006
Want to receive articles like this one in your inbox? Subscribe to Credentialing Resource Center Connection!
The National Committee for Quality Assurance (NCQA) announced this week it is working to develop a common set of standards to measure all health plans, and is currently seeking input from sources throughout the industry on how to bring these standards into alignment.
Currently, NCQA MCO Accreditation standards base evaluations on the Health Plan Employer Data and Information Set (HEDIS), while PPO Accreditation standards to not, and the NCQA will look at expanding PPO standards to include HEDIS reporting. The study will also examine structural differences between health plan types and the effect of these differences on aligning standards.
To view the official announcement from the NCQA, visit the organization's Web site at http://www.ncqa.org/Communications/News/accred08.htm.
Want to receive articles like this one in your inbox? Subscribe to Credentialing Resource Center Connection!
Related Products
-
Credentialing Resource Center
CRC is now available online! Receive updates up to four days earlier than the print version and save on shipping costs.
-
Credentialing Resource Center Connection
National credentialing and privileging expert Sally J. Pelletier, CPCS, CPMSM, delivers useful and timely information in her...
-
Credentialing and Peer Review Legal Insider
The Credentialing and Peer Review Legal Insider provides the latest 'how-to' techniques, and practical 'working tools' to...
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Identify potential Medicaid RAC target areas
- Topic: CMS, OESS post new security compliance review information, checklist
- HIPAA Q&A: Level of encryption needed for email
- Capturing all necessary codes for IUD insertion and removal can be challenging
- What does case-mix index mean to you?
- OB services: Coding inside and outside of the package
- QA:Coding multiple initial infusions
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HIPAA Q&A: Level of encryption needed for email
- Q&A: Follow CMS' coding guidelines when using modifier -25
- What does case-mix index mean to you?
- Catch up on what's new with injections and infusions
- CMS has reformulated payments for some bilateral procedures
- New conflicts of interest create new challenges
- Q/A. One injection code or two?
- ED-to-inpatient transfers are flawed with safety gaps
- Searched