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1Behavioral Health Concepts, Inc. 5901 Christie Avenue, Suite 502 Maryville, CA 94608info@bhceqro.com www.caleqro.com 8553853776201920 DRUG MEDICAL ORGANIZED DELIVERY SYSTEM EXTERNAL QUALITY REVIEW ALAMEDA
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How to fill out external quality review performance

01
Gather all necessary performance data from the reviewed entity.
02
Identify the specific metrics and criteria for evaluation based on the quality review guidelines.
03
Fill in the performance data into the designated sections of the external quality review form.
04
Ensure that all entries are accurate and supported by relevant documentation.
05
Review the filled-out form for completeness and clarity.
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Submit the completed external quality review performance document to the appropriate authority.

Who needs external quality review performance?

01
Health care providers seeking to improve quality of care.
02
Regulatory agencies monitoring compliance with standards.
03
Accrediting organizations assessing performance for certification.
04
Insurance companies evaluating provider performance for payment.
05
Stakeholders interested in quality improvement initiatives.
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External quality review performance refers to the evaluation of healthcare services and outcomes by an independent organization to ensure compliance with required standards and to enhance the quality of care provided to beneficiaries.
Entities such as managed care organizations and Medicaid health plans are typically required to file external quality review performance to comply with federal and state regulations.
To fill out external quality review performance, organizations must collect data on their services, report on the quality measures specified by the regulatory body, and complete the required forms accurately and timely.
The purpose of external quality review performance is to assess and improve the quality of care provided to patients, ensure compliance with regulatory standards, and support accountability and transparency in healthcare services.
Reported information typically includes quality measures, compliance assessments, patient outcomes, service utilization data, and other relevant metrics defined by regulatory authorities.
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