PCMH Certified Content Expert (CCE) Practice Exam

The cost of a discretionary review is borne by the practice, and this is determined by factors such as the complexity and scope of the review involved. This arrangement places the financial responsibility on the practice because discretionary reviews are typically conducted to ensure that the practice remains compliant with the standards set by NCQA. Such reviews can range in complexity; therefore, the costs will vary accordingly. The practice must be prepared to cover these expenses, as they are essential for maintaining its status and credibility in a quality care framework.

In other contexts, the other options would not apply because NCQA does not divide the costs equally with the practice nor cover them entirely. State governments are generally not involved in the direct costs of these reviews, and insurance companies are not responsible for funding compliance reviews for practices.