Due Process (#1) Flashcards
1
Q
What is due process?
A
Formal proceedings with established rules & principles
2
Q
What is an appeal?
A
Formal request for reconsideration of an adverse action
3
Q
What is a hearing?
A
Evidence & arguments are presented to person/ body with decision making authority
4
Q
What is substantive due process?
A
Requires proof that an adverse recommendation is reasonable
5
Q
What is procedural due process?
A
Requires adherence to guidelines for communications once an adverse decision has been made.
6
Q
Due Process in Hospital Settings
A
TJC, AAAHC: Required
HFAP: Required; process can differ for MS vs. AHP
7
Q
Due Process in MCOs
A
NCQA: Required
