Implementing NCQA Standards

The National Committee for Quality Assurance (NCQA) has an important mission. It guides the standards for documentation for all of healthcare, and especially as it relates to 3rd Party payers. Every practice needs a standard to follow, and this is one that is easily duplicated and simple to understand. As you review this Quick Byte…

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Quality and Purposeful Documentation and Coding

Healthcare Documentation Has Many Facets and Requirements To meet the standards expected by the many different audiences that review your patient records, you need to be familiar with the standards set by the healthcare community at large. That standard is defined by The National Committee for Quality Assurance (NCQA). NCQA is an organization dedicated to…

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Why Is Documentation So Important?

Get started here with your documentation and coding training by understanding why we should really care about this topic and how important it is in the context of your business. This brief, high-level training provides a wonderful foundation to the concepts that will be covered in this module and this course of Basics. An understanding…

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GFE Reference Documents

Reference Documents UHC Consolidated Appropriations Act-FAQ GFE Standard Notice Instructions

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Good Faith Estimate Support Tools

CMS has provided a Good Faith Estimate template. You can locate it on CMS’ website under the topic Surprise Billing. Most of the resources were cumbersome. In an effort to streamline the process, KMC University developed a one page Good Faith Estimate form. Please locate and download the Good Faith Estimate form and customize your…

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Good Faith Estimate Decision Making Matrix

This support tool can be used to train staff on when they should offer a Good Faith Estimate to patients. Simply follow the flow chart to attain the compliant response and action. You may want to utilize this tool as a cheat sheet for GFE delivery requirements. The helpful timeline can be referenced by team…

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