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Categories
- Accreditation Preparation (8)
- NCQA Accreditation (4)
- TJC Accreditation (1)
- URAC Accreditation (1)
- General (5)
- Job Seekers (2)
- Utilization Review (3)
- Webinar (2)
- Accreditation Preparation (8)
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Archives
NCQA Accreditation and Certification Surveys: How to Best Prepare
Preparation for an NCQA accreditation or certification survey can still be a struggle, but it doesn’t have to be so. Three action items can dramatically reduce the preparation struggle and increase an organization’s success:
1. Provide adequate resources: The NCQA standards not only address quality improvement, but they also address a...
Read More Concurrent Utilization Review – When is it Done?
The process of utilization review can start at any point along the continuum of needed services. Utilization review coordinators who maintain an active healthcare license, i.e. registered nurses or licensed social workers, conduct utilization review in hospitals, or telephonically and on-site for managed care organizations.
Concurrent utilization review takes place while...
Read More HEDIS measures – National Committee for Quality Assurance (NCQA)
What is HEDIS? HEDIS stands for Health care Effectiveness Data and Information Set. This is a performance measurement strategy implemented by health plans maintaining NCQA accreditation. Data regarding HEDIS measures are collected annually by the majority (more than 90%) of health plans in the United States to gauge their performance...
Read More Patient Centered Medical Homes
Accreditation focus of The Patient Centered Medical Home model (PCMH) is growing in the market place of healthcare. Currently there are at least three voluntary accreditation organizations already engaged or soon to be engaged in providing educational resources or accreditation recognition of this healthcare service structure. These accrediting bodies include...
Read More Healthcare Accreditation
Accreditation is defined as “self-assessment and external peer assessment process used by health care organizations to accurately assess their level of performance in relation to established standards and to implement ways to continuously improve.” (Agarwal, 2011). Accredited healthcare organizations include hospitals, community health agencies, case management and utilization management companies,...
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