MHR Newsletter

2023 #9
August 10, 2023
By: Nancy Ross Bell

From Susan

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.

Be sure to read MHR’s latest Blogs and Quality Insights, where we offer information on topics pertinent to NCQA Accreditation.  

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.


August 21-22, 2023

Fly-In:  Health Equity & NCQA HE Accreditation

Health Plan Alliance

  • Irving, TX


September 11-13, 2023

NAHQ Next™

National Association for Healthcare Quality®

  • Virtual


September 13-14, 2023

Consumer Experience & Digital Health Forum


  • Nashville, TN


September 13, 2023

The Evolution of Mental Health Research


  • Virtual symposium


September 27, 2023

Social Determinants of Health: Moving Beyond Data to Action


  • Webinar


September 25-27, 2023

Value Visit: Clinical Excellence and the Member Experience

Health Plan Alliance

  • Chicago, IL


September 27-28, 2023


Designing Consumer Journeys for Health Equity

  • Minneapolis, MN


October 3-5, 2023

28th Case Management Conference Annual

National Association of Case Management

  • New Orleans, LA


October 15-17, 2023

The 13th Annual HEDIS® & Quality Improvement Summit


  • New Orleans


October 17, 2023

Risk Adjustment Gets Useable Data At Last


  • Webinar


October 23-25, 2023

NCQA Health Innovation Summit


  • Orlando, FL


October 25-26, 2023

PHA Innovation Summit

Population Health Alliance

  • Washington, D.C.


Month Awareness Calendar for Population Health Management Activity Ideas



National Breastfeeding Month

National Immunization Awareness Month


National Suicide Prevention Month


National Bullying Prevention Month

Breast Cancer Awareness Month

Healthcare Quality Week (10/15-10/21/2023)


Great American Smoke Out (11/16/2023)


World Aids Day (12/1)



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.