township. n. 1. (Human Geography) a small town. 2. (Human Geography) (in the Scottish Highlands and islands) a small crofting community. 3. (Government, Politics & Diplomacy) (in the US and Canada) a territorial area, esp a subdivision of a county: often organized as a unit of local government.
Enhancing the health of our members 11.5. _________________________________________________________________________________. Section 11 Managed Care Quality Management (Central Region Products) Overall Goals and Objectives of Quality Management. A comprehensive Quality Management (QM) Program addresses the commitment of the Organization to. environments that improve clinical quality, support safe clinical practices and enhance services to members.
The provider should have the right to rely upon telephone confirmation of the enrollee's status. Mechanisms for Payment. Probably the key element of the managed care contract for the provider is the mechanism for payment. The contract should state how, when, and what the provider will be paid. The provider's personnel should understand the claims' forms and processing procedures.