Applicable to all states except NC
Cooperation with Quality Improvement and Patient Safety Activities - Chapter 2, 2020 UnitedHealthcare Administrative Guide
Cooperation with Quality Improvement and Patient Safety Activities
You must follow our quality improvement and patient safety activities and programs. These include:
- Quick access to medical records when requested.
- Timely responses to queries and/or completion of improvement action plans during quality of care investigations.
- Participation in quality audits, including site visits and medical record standards reviews, and Healthcare Effectiveness Data and Information Set (HEDIS®) record review.
- Allowing use of practitioner and provider performance data.
- Notifying us when you become aware of a patient safety issue or concern.