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SUMMARY:Health Plan Accreditation 2025 Updates: Credentialing
DESCRIPTION:Bundle and Save! Click Here for the NCQA Health Plan 
 Accreditation: 2025 Updates Series.\n\nAbout this Live 
 Training\nHealth Plan Accreditation 2025 Updates: 
 Credentialing\nThis live course leads learners through a 
 deep dive into the updates for the 2025 HPA standards for 
 Credentialing (CR). Through this course\, presenters will 
 provide you with insight to interpret the requirements\, 
 navigate the standards\, and avoid misconceptions. In 
 addition to answering live questions\, the presenters address 
 scenarios and examples based on performance improvement 
 opportunities from prior NCQA surveys.\n\nPlease note that 
 this course presents information based on HPA 2025 standard 
 requirements that are released in July 2024. The scope of 
 this course applies directly to NCQA Accreditation Surveys 
 conducted between July 1\, 2025\, and June 30\, 2026.\n\nWhat 
 You Will Learn\nAt the conclusion of this course\, learners 
 will be able to:\n\n\nUnderstand the 2025 updates and 
 changes to the standards and requirements. \nInterpret the 
 intent of HPA requirements.\nDescribe relationships and 
 themes across the standards.\nRecognize requirement 
 implications and considerations for stakeholders.\nDefine 
 performance improvement opportunities.\n\n \n\nHEDIS® is a 
 registered trademark of the National Committee for Quality 
 Assurance (NCQA).\nCAHPS® is a registered trademark of the 
 Agency for Healthcare Research and Quality (AHRQ).\n\nWho 
 Should Attend\nClinicians\, executives\, managers\, 
 specialists\, consultants\, delegates and vendors who are 
 employed or contracted by health plans with responsibilities 
 pertaining to the scope of work listed below:\n\n\nHealth 
 care professional.\nHealth decision 
 makers\nConsultant.\nHealth plan.\nHealth 
 Systems\nPopulation health 
 organizations\n\nFaculty\n\nAlbert "Irv" Koehler\, RN\, MBA\, 
 CPHQ\, CPC\n\nIrv Koehler is a health care quality consultant 
 for the Koehler Quality Group\, LLC. In this position\, he is 
 an NCQA administrative surveyor and provides consulting 
 services to organizations evaluating and preparing for NCQA 
 Accreditation/ Certification projects\, risk adjustment 
 validation for managed care organizations\, education on 
 quality improvement practices and outcome measure 
 development and tracking.  \n\nMr. Koehler is also a 
 registered nurse with active licensure in Florida and 
 Tennessee\, and certification in quality and medical coding. 
 Previously\, he was a quality improvement professional at 
 AmeriHealth Caritas and BlueCross BlueShield of 
 Tennessee.\n\nMr. Koehler has an MBA from the Florida 
 Institute of Technology\, a BS in Nursing from Florida 
 Southern College\, a BA in Psychology and an ADN from Purdue 
 University.\n\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) to provide Interprofessional 
 Continuing Education for the healthcare team. \n\nThis 
 activity was planned by and for the healthcare team\, and 
 learners will receive 3.0 Interprofessional Continuing 
 Education (IPCE) credit for learning and change. \n\nThis 
 educational activity is approved for: 3.0 AMA PRA Category 
 1 CreditTM\, ANA CNE and ACPE.\n\nThe assigned universal 
 program number:  JA0004597-0000-24-019-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.\n\nThis live course 
 grants 2.0 Continuing Education Unit (CEU) points for PCMH 
 Certified Content Experts.  \n\nNABP Credit 
 Reporting \nIf you are a pharmacist completing a course 
 offering CPE credits\, please notify NCQA through ncqa.org 
 within 14 calendar days that you have completed a CPE 
 course. You must provide the title of the course\, your NABP 
 identification number and your DOB (month/date) within the 
 notification to NCQA. We also recommend you update your 
 education.ncqa.org profile with your NABP identification 
 number.  \n\nDisclosure of Relevant Financial 
 Relationships\nThe National Committee for Quality Assurance 
 (NCQA) endorses the Standards of the Accreditation Council 
 for Continuing Medical Education which specify that sponsors 
 of continuing medical education activities and presenters at 
 and planners for these activities disclose any relevant 
 financial relationships either party might have with 
 commercial companies whose products or services are 
 discussed in educational presentations.\n\nFor sponsors\, 
 relevant financial relationships include large research 
 grants\, institutional agreements for joint initiatives\, 
 substantial gifts\, or other relationships that benefit the 
 institution.  For presenters or planning committee members\, 
 relevant financial relationships include the receipt of 
 research grants from a commercial company\, consultancies\, 
 honoraria\, travel\, or other benefits\, or having a 
 self-managed equity interest in a company\; or having an 
 immediate family member or partner with such a 
 relationship.\n\nDisclosure of a relationship is not 
 intended to suggest or condone bias in any presentation but 
 is made to provide participants with information that might 
 be of potential importance to their evaluation of a 
 presentation.\n\nRelevant financial relationships exist with 
 the following companies/organizations:\n\nFaculty:\nAlbert 
 "Irv" Koehler: None\n\nAdditional Planning Committee 
 Members:\nVince Pereira: None \n\nThis program was 
 developed in part by NCQA staff.\n
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