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SUMMARY:NCQA Credentialing Accreditation and Certification Updates
DESCRIPTION:About this Webinar Training\nNCQA Credentialing 
 Accreditation and Certification Updates 2\nThis multi-day\, 
 live\, online course helps credentialing professionals and 
 contractors identify gaps for improvement and align services 
 with those desired by potential contracting organizations. 
 NCQA faculty and surveyors guide participants in addressing 
 critical performance implications for credentialing 
 practices. The course includes examples and lessons learned 
 to help participants define\, plan\, and achieve excellence in 
 credentialing. What they learn may help them avoid 
 misconceptions and accurately perform their work.\n\nNote: 
 Each attendee must register as a unique participant\, as 
 required by the NCQA Terms of Use. Special rates are 
 available for groups of more than eight 
 participants.\n\nEarly Bird rate: $850 until Feb. 1\, 2025. 
 Use coupon code: EARLYFEB1\n\nNCQA Standards and 
 Guidelines\n\nThis course provides training specific to the 
 NCQA standards and guidelines titled "Credentialing/ 
 Provider Network (CR/PN)."\n\n\n\nBenefits and 
 Resources\n\n\n·   The NCQA surveyor’s 
 perspective.\nApplied examples.\nGroup breakout 
 session.\nPresentation slides.\nRecording of live 
 session.\n\nWhat You Will Learn\n\n·  Explain current 
 modifications and updates to NCQA requirements.\nRecognize 
 themes that span NCQA credentialing standards.\nDiscuss the 
 operational needs and opportunities implied by NCQA 
 requirements. \nDefine attributes of exemplary criteria for 
 credentialing.\nDescribe an NCQA surveyor’s perspective on 
 evaluating credentialing practices.\nIdentify the 
 appropriate NCQA program for organizations seeking 
 Accreditation or Certification. \n \n\nTopics\n\n\nInternal 
 Quality Improvement Process.\nAgreement and Collaboration 
 with Clients \nProtecting Credentialing 
 Information.\nCredentialing Policies.\nCredentialing 
 Committee.\nCredentialing Verification.\nRecredentialing 
 Cycle Length.\nOngoing Monitoring.\nNotification to 
 Authorities and Practitioner Appeal Rights.\nAssessment of 
 Organizational Providers.                        
                                         
                                         
                                         
                  \n\nWho Should 
 Attend\n\nClinicians\, directors\, managers\, specialists\, 
 coordinators who contribute to credentialing 
 activities. \nConsultants\, contractors\, delegates\, vendors 
 of health plans.\nProfessionals in compliance or risk 
 management.\n   Professionals in quality 
 assurance/improvement or performance 
 measurement.\n\nFaculty\n\n\nAlbert “Irv” Koehler\, RN\, 
 MBA\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 4.5 Interprofessional Continuing 
 Education (IPCE) credit for learning and change.\n\nThis 
 educational activity is approved for: 4.5 AMA PRA Category 
 1 CreditTM  and 4.5 ANCC contact hours.\n\nThis live 
 webinar grants 4.0 Other Continuing Education Unit (CEU) 
 points for PCMH Certified Content Experts.  \n\n* Please 
 note – You must attend the entire program to be eligible 
 for total number of contact hours.\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:\n\nAlbert 
 "Irv" Koehler\, RN\, MBA\n\nAdditional Planning Committee 
 Members:\nVince Pereira: None\n\n \n\nThis program was 
 developed in part by NCQA staff.\n
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