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Institute for Medical Quality (IMQ) Joint Commission (TJC) National Committee for Quality Assurance (NCQA) National Dialysis Accreditation Commission (NDAC) [6] The Compliance Team, "Exemplary Provider Programs" The Intersocietal Accreditation Commission(IAC) Utilization Review Accreditation Commission (URAC)
A clinical nurse specialist (CNS) is an advanced practice nurse who can provide advice related to specific conditions or treatment pathways.According to the International Council of Nurses (ICN), an Advanced Practice Nurse is a registered nurse who has acquired the expert knowledge base, complex decision-making skills and clinical competencies for expanded practice, the characteristics of ...
Demand for nurses was projected to increase for the foreseeable future (an increase of 23% between 2006 and 2016, according to the US Department of Labor). [31] Many nurses claim to be overworked and underpaid, in part because not enough nurses are getting certified, and too many are leaving the profession. Poor working conditions increase stress.
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Lighter Side. Medicare. new
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Utilization management (UM) or utilization review is the use of managed care techniques such as prior authorization that allow payers, particularly health insurance companies, to manage the cost of health care benefits by assessing its medical appropriateness before it is provided, by using evidence-based criteria or guidelines.
Health care ratings are ratings or evaluations of health care. In the United States they have been an increasingly used tool to try to drive accountability among health care providers and in the context of classic supply / demand view of Health economics , to help health care consumers make better choices.