Examlex
During planned audits,which of the following is discussed and concretized between the auditor and the team?
Healthcare Effectiveness
The degree to which healthcare services increase the likelihood of desired health outcomes and are consistent with current professional knowledge.
Health Plans
Insurance schemes or programs that provide coverage for medical services and support health care management.
HEDIS
The Healthcare Effectiveness Data and Information Set is a tool used by more than 90% of America's health plans to measure performance on important dimensions of care and service.
Managed Care Organization
A health insurance company that provides healthcare services to its members through a network of doctors, hospitals, and other healthcare providers.
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