Common use of Quality Management Program Clause in Contracts

Quality Management Program. The functions, including, but not --------------------------- limited to, credentialing and certification of providers, review and audit of medical and other records, outcome rate reviews, peer review and provider appeals and grievance procedures performed or required by Foundation, an Affiliate, a Payor, or any other permitted person or entity, to review and improve the quality of Covered Medical Services rendered to Beneficiaries.

Quality Management Program. The functions, including, including but not --------------------------- limited to, credentialing credentialing, recredentialing and certification of providersProviders, site visits, review and audit of medical and other records, outcome rate reviewsmedical outcomes, peer review and provider Provider appeals and grievance procedures performed or required by Foundation, an Affiliate, a PayorPlan, or any other permitted person or entity, to review and improve the quality of Covered Medical Services rendered to BeneficiariesMembers. Provider shall be notified on a periodic basis by Plan of changes or additions to such Quality Management Program that are relevant to Provider and the terms of this Agreement.

Quality Management Program. The functions, including, but not --------------------------- limited to, credentialing and certification of providers, review and audit of medical and other records, outcome rate reviews, CHP peer review review, and provider appeals appeals, and grievance procedures performed or required by FoundationCHP, an Affiliate, a PayorDSH, or any other permitted person or entity, to review and improve the quality of Covered Medical Services rendered to BeneficiariesCovered Patients.