NCQA Accreditation

Accreditation Consulting in Healthcare: A Roadmap to Success

2023-11-07T10:50:42-04:00By |Accreditation, NCQA Accreditation, URAC Accreditation|

The need for high-quality care and patient safety is paramount. Healthcare organizations must continually strive for excellence and compliance with industry standards to ensure the best outcomes for their patients. One valuable tool in achieving this is accreditation consulting. Accreditation consulting can serve as a guiding light for healthcare organizations looking to attain or maintain accreditation, such as URAC or NCQA accreditation.

The Road To NCQA Health Plan Accreditation

2023-08-07T14:19:12-04:00By |Accreditation, NCQA Accreditation, Services|

Are you a health plan looking into NCQA accreditation? We know that the process can be daunting and often stressful, so we’ve compiled a list of NCQA basics to help those who are pondering an NCQA accreditation. If you are a health plan who has already chosen to pursue NCQA accreditation, take a look at our blog post "NCQA Health Plan Accreditation : The Difference Between Failure and Success." For those of you just getting started let's dive into the NCQA basics, from who the NCQA is to an overview of their Health Plan accreditation levels. Hopefully this list helps jump-start your journey towards successful healthcare accreditation.

NCQA Presents HEDIS 2016 Volume 2 with Relevant ICD-10 Codes

2017-04-02T13:28:12-04:00By |Accreditation, NCQA Accreditation|

The NCQA announced on September 29, 2015 that the 2nd volume of HEDIS 2016 (The Healthcare Effectiveness Data and Information Set) would be completely ICD-10 compliant and ready for the implementation day of OCT 1. The NCQA has phased out the ICD-9 codes as per NCQA regulations and added over 73,000 ICD-10 codes, across 56 HEDIS measures. "Health plans, health data clearinghouses and health care providers will now be able to code records to comply with CMS requirements for HEDIS reporting."

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