According to URAC, how often must a periodic review of delegated functions occur?

The correct answer to the question regarding how often a periodic review of delegated functions must occur, according to URAC (Utilization Review Accreditation Commission), is every three years. This timeframe is established to ensure that organizations maintain high standards in their delegated functions, allowing for adequate oversight and compliance with regulations that can evolve over time. A three-year review period strikes a balance between thorough oversight and operational efficiency, allowing organizations to assess the effectiveness and appropriateness of the delegated tasks and ensure that they still align with best practices and regulatory requirements.

This periodic review is essential for continual quality improvement and risk management, helping organizations identify any changes needed to uphold the quality of care and services provided. Conducting reviews more frequently than every three years might impose unnecessary burdens on resources, while waiting longer could increase the risks associated with outdated practices or compliance issues.