Practice Quiz

Managed Care Nursing

Category - Healthcare Management

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Which is not a direct responsibility of the MCO quality management committee?
  1. Approval of sanctions
  2. Review of providers malpractice history
  3. Oversight of the quality management program
  4. Provide feedback to providers regarding quality outcomes
  5. None of the above
Explanation
Answer: B - Review of a provider’s malpractice history is not a direct responsibility of the MCO quality management committee.

The MCO quality management committee has oversight of the quality management program, approval and follows up on sanctions and setting standards of care to ensure high quality care to members. The committee is also responsible for the review of data with feedback to providers regarding quality outcomes.
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