Description
November 20, 2024
Guiding Star: Navigating NCQA Revisions
Keeping up with NCQA accreditation standards is vital for successful enrollment with managed care organizations, especially in light of the latest revisions. Join TMG and explore the newest changes to the NCQA credentialing standards and their potential impact on your operations. Gain insights into how these revisions reflect current healthcare trends and learn strategies to stay compliant while enhancing your organization’s quality of care.
Objectives
Describe the most significant revisions to the NCQA accreditation standards.
Explain how these changes align with current trends in healthcare, such as patient-centered care and digital health.
Identify actionable strategies to implement the new standards effectively and maintain compliance.
January 14, 2025
Anchoring Success: Delegated Credentialing Mastery
As delegated credentialing processes grow more complex, organizations face increased compliance risks and operational challenges. Join TMG for a deep dive into the intricacies of delegated credentialing. Explore how to optimize delegation agreements, implement robust oversight mechanisms, and address common challenges to ensure smooth and compliant credentialing processes.
Objectives
Analyze the common pitfalls in delegated credentialing and develop strategies to mitigate these risks.
Explain methods for analyzing and managing delegation agreements that align with regulatory and accreditation standards.
Identify best practices for conducting thorough pre-delegation and annual oversight audits to maintain high-quality credentialing outcomes.
March 25, 2025
Strengthening the Guardrails: Minimizing Credentialing Liability
Managed care credentialing presents unique risks, including complexities in delegated credentialing, compliance with multiple accrediting bodies, and maintaining consistency across diverse provider networks. Join TMG to explore these specific risks and discover strategies to mitigate liability and ensure robust credentialing practices. Gain insights into how to protect your organization from potential pitfalls.
Objectives
Identify the credentialing risks associated with the managed care environment
Explain how MSPs can mitigate liability through targeted risk management strategies
Describe methods to implement and enhance risk management practices in managed care credentialing
