Question

Which one of the following choices requires that an MCO plan being reviewed for accreditation demonstrates that it has done a thorough credentialing process for providers?

a. PPO
b. NCQA
c. PMPM
d. RBRVS

Answer 1

b. NCQA

Step-by-step explanation:

The NCQA is in line with determining standards, providing accreditation and promoting responsibility by Managed Medicine Organizations.

Different means have been arranged in order to deal with complaints that are received due to deficiencies in appropriate care, and the review is incorporated by an external advisor.