AHM-250 Exam Dumps : Healthcare Management: An Introduction

Independent Practice Association (IPA).

Group Practice Without Walls (GPWW)

Management Services Organization (MSO).

Consolidated Medical Group.

Accreditation is typically performed by a panel of physicians and administrators employed by the health plan under evaluation.

All accrediting organizations use the same standards of accreditation.

Results of accreditation evaluations are provided only to state regulatory agencies and are not made available to the general public.

Accreditation demonstrates to an health plan's external customers that the plan meets established standards for quality care.

A Level One appeal, and the member has the right to a further appeal

A Level Two appeal, and the reviewer's decision is final and binding

An independent external appeal, and the member has the right to a further appeal

Arbitration, and the reviewer's decision is final and binding