Medical Care Evaluation Study

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eCFR :: 42 CFR Part 456 Subpart C - UR Plan: Medical …

https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-C/part-456/subpart-C/subject-group-ECFR89be398140dd11b

( a) The purpose of medical care evaluation studies is to promote the most effective and efficient use of available health facilities and services consistent with patient needs and professionally recognized standards of health care. ( b) Medical care evaluation …

Content of medical care evaluation studies. - eCFR

https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-C/part-456/subpart-C/subject-group-ECFR89be398140dd11b/section-456.143

Each medical care evaluation study must -. ( a) Identify and analyze medical or administrative factors related to the hospital's patient care; ( b) Include analysis of …

Elements of an Evaluation Plan - Agency for Healthcare …

https://www.ahrq.gov/talkingquality/assess/evaluation-plan.html

Medical Care Evaluation Studies A Utilization Review …

https://jamanetwork.com/journals/jama/article-abstract/341921

Medicine has long placed emphasis on the quality as well as the quantity aspects of care. Forthcoming revised Medicare utilization review regulations, carefully weighing the …

Health Care Evaluation | NORC.org

https://www.norc.org/Research/Topics/Pages/health-and-well-being/health-care-evaluation.aspx

Health Care Evaluation Driven by the need to control the growth of spending while providing patient-centered care and fostering innovation, NORC works with health care …

42 CFR § 456.142 - UR plan requirements for medical …

https://www.law.cornell.edu/cfr/text/42/456.142

LII. Electronic Code of Federal Regulations (e-CFR) Title 42 - Public Health. CHAPTER IV - CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF …

Medi-Cal Managed Care Quality Improvement Reports

https://www.dhcs.ca.gov/dataandstats/reports/Pages/MMCDQualPerfMsrRpts.aspx

The reports analyze Managed Care Accountability Set (MCAS) measure results reported by Medi-Cal managed care plans (MCPs) for various demographic …

Medical care evaluation studies in long-term care facilities

https://pubmed.ncbi.nlm.nih.gov/105032/

This report describes the selection, design, conduct, analysis, and application of medical care evaluation studies in long-term care facilities (skilled nursing homes) in a regional …

Medical care evaluation studies. A utilization review …

https://pubmed.ncbi.nlm.nih.gov/4552852/

Medical care evaluation studies. A utilization review requirement Medical care evaluation studies. A utilization review requirement Medical care evaluation …

Medical Review Audits and Corrective Action Plans

https://www.dhcs.ca.gov/services/Pages/MedRevAuditsCAP.aspx

The medical survey is a comprehensive evaluation of the MCP's compliance with managed health care law Period(Knox-Keene Health Care Service Plan Act). …

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