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Interrater reliability between physicians and nonphysician reviewers, such as case managers who make decisions with the protocol, must be assessed. Typically, standardized clinical protocols such as those developed by Milliman and Robertson (www.milliman-hmg.com) and Interqual (www.interqual.com) are modified by the MCO to make them organization- and population-specific (Neuman and Ptak, 2003)...
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Typically, standardized clinical protocols such as those developed by Milliman and Robertson (www.milliman-hmg.com) and Interqual (www.interqual.com) are modified by the MCO to make them organization- and population-specific (Neuman and Ptak, 2003).
Certification
Certification is one method by which professions express collective ideals and a sense of responsibility, strengthen this sense in members, and improve practice (Imrey, 1994)...
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Martin Luther King/Drew Medical Center Accreditation Status
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