Health plans typically conduct two types of reviews of a provider's medical records: an evaluation of the provider's medical record keeping (MRK) practices and a medical record review (MRR). One true statement about these types of reviews is that:
A) An MRK covers the content of specific patient records of a provider.
B) The NCQA requires an examination of MRK with all of a health plan's office evaluations.
C) An MRR includes a review of the policies, procedures, and documentation standards the provider follows to create and maintain medical records.
D) The NCQA requires MRR for both credentialing and recredentialing of providers in a health plan's network.

Question

Quizplus · Accepted Answer

The Answer of Health plans typically conduct two types of reviews of a provider's medical records: an evaluation of the provider's medical record keeping (MRK) practices and a medical record review (MRR). One true statement about these types of reviews is that:
A) An MRK covers the content of specific patient records of a provider.
B) The NCQA requires an examination of MRK with all of a health plan's office evaluations.
C) An MRR includes a review of the policies, procedures, and documentation standards the provider follows to create and maintain medical records.
D) The NCQA requires MRR for both credentialing and recredentialing of providers in a health plan's network.

Health Plans Typically Conduct Two Types of Reviews of a Provider's