August 10, 2023
By: Nancy Ross Bell
As client needs increase, MHR is keeping pace by adding two new persons to our team, Tiffany Johnson, Virtual Assistant, and Erin Kafieh, RN, Healthcare Consultant. Read more about them below under Meet.
As mentioned last month, Sonia Frazier and I are thrilled to be presenting on NCQA’s Health Equity standards at the Health Plan Alliance
Fly-In Conference in Irving, Texas, scheduled for August 21 and 22, 2023.
On October 23-25, 2023, I will be at NCQA’S HEALTH INNOVATION SUMMIT in Orlando, Florida, and will be hosting a dinner for MHR clients on October 24. Please send me an email and let me know if you plan to attend.
Do you have a question, or are you ready for a Discovery Call to learn more about MHR? We have been in business for over 32 years and are experts in our field of consulting on NCQA Accreditation and Certification.
Contact me to see how we can help you.
Susan K. Moore, President & CEO
Tiffany Johnson joins the MHR Administrative Team as a Virtual Assistant with over 14 years of experience providing comprehensive support to executives and teams across diverse industries. Tiffany lives in Atlanta, Georgia.
Erin Kafieh is a Registered Nurse with more than 26 years of experience in NCQA accreditation with all product lines. Her expertise includes file review standards for Utilization Management Denials and Appeals, Credentialing, LTSS, and Case Management. She has been an NCQA surveyor since December 2022. Erin joined Managed Healthcare Resources in July 2023 as an independent Healthcare Consultant. Erin lives in a rural mountain community in California.
Read more about Tiffany and Erin on our website.
UPCOMING INDUSTRY EVENTS
August 21-22, 2023
- Irving, TX
September 11-13, 2023
September 13-14, 2023
- Nashville, TN
September 13, 2023
- Virtual symposium
September 27, 2023
September 25-27, 2023
- Chicago, IL
September 27-28, 2023
- Minneapolis, MN
October 3-5, 2023
National Association of Case Management
- New Orleans, LA
October 15-17, 2023
- New Orleans
October 17, 2023
October 23-25, 2023
- Orlando, FL
October 25-26, 2023
- Washington, D.C.
CALENDAR OF OBSERVANCES
Month Awareness Calendar for Population Health Management Activity Ideas
New from NCQA!
Just released from NCQA are NCQA’s Policy Updates from July 31, 2023.
Have a question for NCQA?
NCQA’s list of Frequently Asked Questions can be searched by accreditation program.
Are you working on a Qualitative Analysis? Be sure to include roles and titles of all participants involved in the analysis. Only names of departments or teams are not acceptable.
For elements with a frequency of annual, a grace period applies after the 12 months and would extend to 14 months. NCQA does not allow a minus 2 month grace period.
Remember that when receiving authorization requests from providers such as a lab or DME company, UM denial letters must also be addressed to the attending or treating practitioner.