Happiness and Wellness Committee
Quality
Case Management
Prior Authorization
Risk Adjustment
300
Sedona Kirby Shannell Williams Candace McCalmont Laura Waugh Sandra Caraveo Alyson Marby Carrie English Danitza Casas
What is a name of a Happiness and Wellness Committee Member?
300
Greivances, appeals, quality of care concerns, credentialing
What is Quality?
300
A collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality, cost-effective outcomes.
What is Case Management?
300
A requirement that a physician obtains approval from Health Choice to render specific services.
What is Prior Authorization?
300
This audit requires medical record review determination for HCC validation.
What is the Risk Adjustment Data Validation audit (RADV)?
500
Our goal is to provide you with tips and opportunities to encourage and promote a happy, healthy workplace.
What is the Happiness and Wellness Committee goal?
500
It's Health Choice's method for continuous process improvement to meet goals. Plan, Do, Study, Act
What is a PDSA?
500
HCA HCG HCIC HCE HCU
What is lines of business that we offer case management for?
500
A list of services provided on our website that require a prior authorization?
What is a prior auth grid?
500
Risk Adjustment Factor
What is RAF?
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