Nevada Administrative Code
Chapter 695C - Health Maintenance Organizations; Provider-Sponsored Organizations
QUALITY ASSURANCE PROGRAM
Section 695C.420 - System for collection and maintenance of information related to health care services
Universal Citation: NV Admin Code 695C.420
Current through December 12, 2024
1. The quality assurance program must include a system to collect and maintain information related to the health care services received by members.
2. The system must have the capacity to aggregate data in a manner which will assist the committee in identifying patterns of substandard care and any particular provider who is providing substandard care. The information collected must include any complaints filed by members or other providers, adverse outcomes to treatment or services, inappropriate use of services and underutilization of services.
Added to NAC by Bd. of Health, eff. 11-1-95
NRS 439.200
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