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SUMMARY:Explaining HPA 2022: Utilization Management (UM)
DESCRIPTION:About this Webinar Training\n\nCost: $330\nOctober 14\, 2021 
 1pm-4pm (ET)\nExplaining HPA 2022: Utilization 
 Management (UM)This live course is a thorough examination 
 of the HPA standards for Utilization Management (UM).  
 Faculty will give participants guidance for interpreting the 
 requirements\, navigating the standards and avoiding 
 misconceptions\, and will facilitate brief activities that 
 simulate addressing requirements. This course is 
 appropriate for all professionals with a direct or indirect 
 stake in NCQA Accreditation.\nThis course presents 
 information based on HPA 2022 standard requirements and its 
 contents apply directly to NCQA Accreditation Surveys 
 conducted between July 1\, 2022\, and June 30\, 2023.\nRelated 
 Courses\nFor content pertaining to Delegation requirements\, 
 use “Delegation” to search NCQA courses at 
 www.ncqa.org/education-training/For content dedicated to the 
 policies and procedures for Health Plan Accreditation (HPA)\, 
 please consider taking the course Fundamentals of Health 
 Plan Accreditation (HPA)Group Training?\nTo inquire about 
 group training rates\, complete our online form.\nKey 
 Topics\nControlling UM systems. Handling member 
 appeals. Determining coverage and medical 
 necessity. Administering denial notices. Improving survey 
 readiness and performanceBenefits and Resources\n   
 Presentation slides.   Recording of live session.   Live 
 Q&A.   Scenarios for applied learning.   NCQA 
 surveyor’s perspective of the standards.   ACCME Credits 
 for clinicians.\n What You Will Learn\n\n Explain the 
 intent of the HPA UM standards. Define performance issues 
 and target results within the scope of requirements.Describe 
 relationships and themes across the UM elements.Discuss 
 requirement implications and considerations for 
 stakeholders.Critique examples and scenarios to enhance 
 application.Who Should Attend\n\n Clinicians\, directors\, 
 managers\, specialists and coordinators. Consultants\, 
 contractors\, delegates and vendors. Health plans and 
 managed care organizations. Professionals in compliance\, 
 risk management or public policy. Professionals in 
 population health or public health. Professionals in 
 quality assurance/improvement or performance 
 management.Faculty\n\nClint Koenig\, MD\, MSPH\, MAClint 
 Koenig\, MD\, MA\, MSPH is the senior Medical Director at Ohio 
 Healthy\, a new system-based health plan in Columbus Ohio. He 
 has served as State Medical Director in New Hampshire and 
 Ohio. Other leadership roles include the Health Plan 
 Regional Chief Medical Officer at Universal American\, a 
 government programs health management organization in 
 Syracuse New York as well as the Director for Utilization 
 Management at Monroe Plan for Medical Care\, a healthcare 
 management organization in Rochester\, New York. In addition\, 
 Clint held Chief Medical Officer roles in Federally 
 Qualified Health Centers and integrated delivery 
 systems.\nHe has been an NCQA surveyor for 10 years and 
 surveys health plans\, Patient Centered Medical Home\, Special 
 Needs Plans and Long Term Services and Supports 
 organizations.\nDr. Koenig received his MD from Albany 
 Medical College in Albany\, NY. He completed his residency in 
 Family Medicine\, from the University of Missouri. He also 
 completed a fellowship at the University of Missouri\, where 
 he received Masters degrees in Public Health and 
 Journalism.\nContinuing Education\n\n\nIn support of 
 improving patient care\, the National Committee for Quality 
 Assurance is jointly accredited by the Accreditation Council 
 for Continuing Medical Education (ACCME)\, the Accreditation 
 Council for Pharmacy Education (ACPE)\, the American Nurses 
 Credentialing Center (ANCC)\, the American Academy of 
 Physician Assistants (AAPA)\, the American Psychological 
 Association (APA)\, and the Association of Social Work Boards 
 (ASWB) to provide Interprofessional Continuing 
 Education for the healthcare team. \nThis activity was 
 planned by and for the healthcare team\, and learners will 
 receive 2.5 Interprofessional Continuing Education (IPCE) 
 credit for learning and change. \nThis educational activity 
 is approved for: 2.5 AMA PRA Category 1 CreditTM\, ANA CNE\, 
 APA\, ACPE and ASWB ACE.\nThe assigned universal program 
 number: JA0004597-0000-21-010-L04-P. Upon successful 
 completion of this program (attending the full session and 
 completing a program evaluation)\, participants will access 
 CPE Monitor on the ACPE website to locate and track their 
 CPE statement of credit.\nThis live webinar grants 2.0 
 other Continuing Education Unit (CEU) points for PCMH 
 Certified Content Experts.  \n* Please note – You must 
 attend the entire program to be eligible for total number of 
 contact hours. \n
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