A Health Plan That Delegates Designated Credentialing Activities to an NCQA-Centered

question 150

True/False

A health plan that delegates designated credentialing activities to an NCQA-centered or a Commission/URAC-centered credentials verification organization (CVO) is exempt from the due- diligence oversight requirements specified in the NCQA credentialing standards for all verification services for which the CVO has been certified:

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Definitions:

Nonprofit

Organizations that operate without the primary goal of earning profits for their owners or shareholders but rather to serve the public good or a specific societal need.

Success

The accomplishment of an aim or purpose, often marked by achieving specified goals or attaining prosperity.

Revenue

The income generated from normal business operations or other activities, calculated before any expenses are subtracted.

Governments

Governments are formal structures and institutions that hold the authority to establish rules, regulations, and policies for a geographic area and its population.