The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. In addition, coverage may be mandated by applicable legal requirements of a State or the Federal government. NCQA health plan accreditation is awidely-recognized, evidence-based program that works to ensure quality improvement and measurementthroughaligning organizations witha comprehensive framework. No fee schedules, basic unit, relative values or related listings are included in CPT. The AMA is a third party beneficiary to this Agreement. Accreditation and Regulation: Can They Help Improve Patient Safety? Help gain accreditation by the National Committee for Quality Assurance (NCQA) and other accreditation organizations. You, your employees and agents are authorized to use CPT only as contained in Aetna Precertification Code Search Tool solely for your own personal use in directly participating in health care programs administered by Aetna, Inc. You acknowledge that AMA holds all copyright, trademark and other rights in CPT. Employees should make sure their doctor knows their racial and ethnic background in order to provide the best medical care. The ABA Medical Necessity Guidedoes not constitute medical advice. CPT is a registered trademark of the American Medical Association. The responsibility for the content of Aetna Precertification Code Search Tool is with Aetna and no endorsement by the AMA is intended or should be implied. Please note also that the ABA Medical Necessity Guidemay be updated and are, therefore, subject to change. We worked with BrandWatch to get social media analysis of mental health findings for adolescents and LGBTQ/BIPOC youth. Applications are available at the American Medical Association Web site, www.ama-assn.org/go/cpt. NCQA Health Equity Accreditation: Impact and Benefits ", The five character codes included in the Aetna Precertification Code Search Tool are obtained from Current Procedural Terminology (CPT. The overall rating is the weighted average of a plan's HEDIS and CAHPS measure ratings, plus bonus points for plans with a current Accreditation status as of June 30, 2024. How do I credential with UnitedHealthcare? Each main plan type has more than one subtype. Applicable FARS/DFARS apply. We were the first health appraisal vendor to be certified by NCQA and have received certification continuously since 2008. These standards cover areas like care planning, measurement and quality improvement, and care monitoring, to name a few. If there is a discrepancy between this policy and a member's plan of benefits, the benefits plan will govern. Update educational materials and articles on the provider website to ensure that information is accurate. Please log in to your secure account to get what you need. Go to the American Medical Association Web site. We do not share your information with third parties. Aetna Student Health is the brand name for products and services provided by Aetna Life Insurance Company and its applicable affiliated companies (Aetna). 0000000016 00000 n Pricing is based on multiple factors. More than 1,000health plans have earnedNCQA Accreditation and achieving accreditation is a lengthy process, representing a lot of work. Disclaimer of Warranties and Liabilities. 0000013951 00000 n More than 1,000 health plans have earned NCQA Accreditation and achieving accreditation is a lengthy process, representing a lot of work.
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