Managed Care Nursing

Category - Patient Issues

Which NCQA core standard outlines a process for handling patient complaints and concerns?
  1. Process for CQI
  2. Written policies and procedures
  3. Assigning CVO activities
  4. Verification of malpractice history
  5. None of the above
Explanation
Answer: A- The process for CQI is the standard process for handling patient complaints and concerns.

NCQA core standard (CVO 2) outlines the process for handling internal continuous quality improvement (CQI) and includes recommendations for a CQI program and a mechanism and plan for patient complaints and concerns.
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