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The Managed Behavioral Healthcare Organization (MBHO) accreditation requires organizations to monitor, evaluate and improve the quality and safety of care provided to members; coordinate medical and behavioral healthcare; meet standards for access and services; and review and verify the credentials of practitioners in their network.
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Delegation occurs when an organization seeking NCQA Accreditation or Certification gives another entity the authority to perform certain functions that the organization would otherwise perform to meet the NCQA requirements. This module will provide an overview of delegation so as surveyors encounter delegation in all aspects of a survey, which could include reviewing standards or specific elements an organization delegates to assessing how the organization perf
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The Accreditation Survey Coordinator (ASC) is the main point of contact for the surveyor for the duration of a survey. The primary role of the Accreditation Survey Coordinator is to ensure a successful survey from beginning to end, including helping the organization with survey-related questions and coordinating all stages of the survey process.
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Case Management Program – This program emphasizes collaboration to meet the comprehensive medical, behavioral, and social determinants of health needs of patients and their families. Organizations are required to assess, plan, facilitate and coordinate care to help patients regain optimum health or improved functional capabili
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The Onsite review of files or Virtual review of files is one of the final steps in the NCQA survey process that heavily involves the surveyor. File Review generally lasts about 1-2 days depending on the product type and number of file reviews. At this stage of the NCQA survey process, It is the surveyor’s responsibility to conduct the file review, score applicable elements in IRT, and present the closing conference presentation to the organization.
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A continuation of Module 4 - SURVEYOR RESPONSIBILITIES AT ONSITE AND POST SURVEY PROCESS, this module will focus on file review workbook specifics.
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Welcome to New Surveyor Training.Please use this course to access general course materials and the opening ceremony.
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Review the anatomy of a standard, scoring, and ensuring survey review consistency
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Please refer to this section of the course for all recorded module Q&A sessions. Recorded sessions will appear 24 hours after the scheduled dates below.