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Evaluation ViewAttendees 7

Provider Enrollment

Accreditation/Regulatory

M101 - You Are in Control... Really??

Monday, September 11, 2023
10:15 AM – 11:15 AM ET
Location: Regency O
CE: 1 NAMSS CE Credits
Tomorrow's MSP® Skillsets: Analytical Thinking, Information Technology, Risk Management, Change Management, Performance Improvement, Database Management, Political Savvy, Medical Staff Professionalism, Medical Staff Bylaws & Policies/Procedures, Flexibility/Adaptability, Project Management, Human Resources, Quality Review/Quality
Session Description: Our purpose for this session is to assist MSPs to determine, evaluate and implement a successful System Controls oversight in Provider Enrollment. During our session we will review the NCQA standards relative to System Controls and develop a process that an organization can implement, (with frequency, types of control systems and oversight). MSPs will be provided quantitative and qualitative quality metrics that can show improvement through the cycle of System Controls for any given year. MSPs will gain insight and challenges to several options that have been utilized to monitor System Controls. Finally, the session will provide strategies to engage the Quality Improvement Program through the utilization of tools, resources and collaboration with payers.

Learning Objectives:

  • Upon completion, participant will be able to describe a successful System Controls oversight program for Provider Enrollment, based regulatory standards.
  • Upon completion, participant will be able to evaluate and identify gaps within System Controls through various quality metrics.
  • Upon completion, participant will be able to implement a successful System Controls oversight program through strategies, resources and collaboration with payors.