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Managed Care Organization

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There are different committees in an Managed Care Organization. Some serve operational functions while others serve to meet regulatory and quality standard functions. Describe credentialing committee and quality management committee. What are the main role of each committee? If you could eliminate one of these committees as being less important, which one would it be, and why?

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This solution discusses two managed care committees: Credentialing Committee and quality Management Committee. It discusses their roles and importance.

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Describe credentialing committee and quality management committee. What are the main roles of each committee? If you could eliminate one of these committees as being less important, which one would it be, and why?

Credentialing can be considered as being a part of quality management. The purpose of credentialing is to ensure that the staff/employees of an organization meet the minimum standards required to perform their duties adequately and with professionalism. ...

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Carmel Philistin, MBA/HCM
Education
  • BA, Brooklyn College
  • MBA/HCM, Phoenix University
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