Quality Care Starts with Successful Accreditation

Helping to make your survey preparation easier.

Quality Care Starts with Successful Accreditation

Helping to make your survey preparation easier.
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Over 25 Years of Industry Experience

Let Us Help You Get NCQA Accreditation

Managed Care Consulting specializes in assisting health plans and organizations in their pursuit of NCQA accreditation. With over 25 Years of Experience in Healthcare Quality and Accreditation, our mission is to maximize your chances of success by thoroughly evaluating your accreditation needs along with a detailed plan of action tailored to your organization. 

Serving Nationwide

Our Comprehensive Services

We offer a wide range of services designed to guide you through the intricacies of NCQA accreditation: 

Our experts conduct comprehensive assessments to evaluate your compliance with NCQA standards. This crucial step identifies any gaps that may affect your accreditation journey. 

We thoroughly review your existing programs and processes, ensuring they align with NCQA standards and enhancing your readiness for accreditation. 

Our team assists in creating robust policies and procedures specifically designed to meet NCQA requirements, enabling smoother operations within your organization. 

To prepare you for the accreditation evaluation, we conduct mock surveys and detailed file reviews. This practice helps pinpoint areas for improvement before the actual assessment. 

Understanding delegation oversight requirements can be complex. We guide your organization in comprehending these essentials, ensuring strong management and compliance. 

Our consultants identify and recommend strategies to streamline your NCQA processes and enhance project management, promoting efficiency in all operations. 

We provide specialized training on standard interpretation, including auto-credit and scoring, empowering your team with crucial knowledge for successful accreditation.  

We meticulously review evidence to ensure it meets the intent of NCQA standards at both the element and factor levels, which is vital for securing your accreditation.

Our services extend to assisting with your NCQA submission, including: 

  • Document Preparation: Merging files and bookmarking for easier navigation. 
  • Uploading Documents: Facilitating uploads to NCQA’s online review tool (IRT). 
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Choose Us for You Accreditation & Certification Preparation

Led by a CPHQ-certified (Certified Professional in Healthcare Quality) NCQA Surveyor, we are dedicated to providing you with the services and support needed to achieve NCQA accreditation successfully. Our commitment to excellence and in-depth understanding of healthcare compliance make us the ideal partner for your accreditation journey.

Contact us today to learn more about our services. We serve clients nationwide.

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Learn about our NCQA accreditation support services.

Disclaimer

Managed Care Consulting is an independent organization, not affiliated with the National Committee for Quality Assurance (NCQA). The recommendations provided are intended for general guidance. While Managed Care Consulting exercises diligence in interpreting applicable NCQA Standards, organizations must refer directly to the official documentation at www.ncqa.org for the most current and authoritative Standards and Guidelines. Managed Care Consulting does not represent or guarantee outcomes or performance on NCQA surveys or evaluations.

Terms and Conditions

This Consulting Services Agreement (“Agreement”) is effective as of the date accepted by Client (“Effective Date”) by and between Managed Care Consulting and the Client identified on the prior page (“Client”).

As a representative or agent of the Client (“you” or “your”) who is accepting the terms and conditions contained in this Agreement, you hereby represent that you have full authority to act on behalf of the Client and to bind Client to the terms of this Agreement.

By clicking “I Agree,” using the services described herein, or otherwise manifesting your assent to the terms below, you are agreeing to bind Client to the terms of this Agreement. If you cannot unequivocally agree to the terms of this Agreement on behalf of Client, do not click “I Agree.”

1. Overview

This Agreement outlines how MCCP and its Principal Consultant, Jana Altieri, RN, MS, CPHQ (“Principal Consultant”), will consult with the Client on issues relating to healthcare quality and regulatory compliance, as further set forth in this Agreement.

2. Consultation Services

Client hereby engages MCCP to provide short-term consulting support to the Client in accordance with the terms of this Agreement. MCCP’s services are customized to address the specific needs of each Client and may include, but are not limited to, the following “services”:

• Regulatory Compliance

• Clinical and Data Expertise in the Context of Healthcare Quality

• Performance Measurement Development

• Program Development and Evaluation

• Medical Content Writing, Editing, and Proofreading

• Training on Quality Improvement in the Health Care Setting

• Development, Implementation, and Testing of Medical Management Software

• Healthcare Quality Performance Improvement Project/Action Plan Development and Evaluation

The specific scope of services to be provided by MCCP will be mutually agreed upon by the parties.

3. Fees and Payment

Client will compensate MCCP for the Services at the agreed upon rate (For existing clients, please reach out for a discount code) per hour. Client shall make payments via MCCP’s website based on the total number of hours selected by the Client at the time of payment. All payments shall be due to MCCP prior to commencement of the Services.

Credit Card Authorization: Client hereby authorizes MCCP to charge the credit card provided via this website. This authorization is to remain in full force and effect until MCCP has received payment in full for Services rendered. Client represents and warrants that Client is an authorized user of the credit card and will provide complete and accurate information to MCCP in order to ensure proper payment.

4. Term and Termination

This Agreement shall commence on the Effective Date and remain in effect until completion of the Services or until terminated by either party as provided herein. Either party may terminate this Agreement for any reason upon written notice to the other party. Upon termination, Client agrees to compensate MCCP for all services rendered up to the effective termination date.

5. Client Responsibilities

Client shall be responsible for the following in connection with the services:

• Client shall provide full access to all relevant documents and personnel necessary for MCCP to perform the services.

• Client shall promptly address any concerns or feedback provided by MCCP.

• Client shall not disclose to MCCP any patient information, as provided in Section 9 below, unless otherwise agreed to by the parties.

6. Independent Contractor

MCCP shall be an independent contractor and not an employee, agent, or servant of Client. Client shall not have or exercise any control or direction over the methods by which MCCP performs work or obligations under this Agreement. Nothing herein shall restrict MCCP or Principal Consultant from providing similar services to other individuals or entities.

7. Employees and Subcontractors

MCCP may engage employees, independent contractors, or subcontractors to perform portions of the services. Principal Consultant will remain the primary point of contact and will retain responsibility for ensuring the quality of all work performed by such employees, independent contractors, or subcontractors.

8. Confidentiality

Each party acknowledges and agrees that in the course of performing this Agreement, it may have access to certain confidential information belonging to the other party (“Confidential Information”).

Each party shall maintain the confidentiality of all such Confidential Information of the other party and shall not divulge such information to any third parties, except as otherwise provided for under this Agreement and under law. Each party shall take reasonable precautions against disclosure of any of the Confidential Information to unauthorized persons.

Upon termination of this Agreement for any reason, each party shall cease all use of any of the Confidential Information of the other party and, upon request, shall return to the other party any copies thereof.

This section shall not apply to information that is public knowledge or that becomes a matter of public knowledge after the Effective Date of this Agreement, other than as a result of an unauthorized disclosure by the receiving party.

9. Patient Information

The parties acknowledge and agree that performance of the services under this Agreement will not require Client to disclose or transmit to MCCP any patient information, including, but not limited to, protected health information (as such term is defined under the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations (collectively, “HIPAA”).

In the event the parties determine that disclosure or transmission of such information is necessary in order to carry out this Agreement, both parties agree to comply with all applicable laws and regulations governing the privacy and security of such information, including, but not limited to, HIPAA, and to execute any agreements required by such laws and regulations.

10. Intellectual Property

Neither party transfers by operation of this Agreement, any patent, copyright, or other proprietary right owned by either party as of the Effective Date or arising outside the Services hereunder. MCCP shall own all inventions, discoveries, and other developments made solely by MCCP relating to the subject area of this Agreement.

If MCCP and Client jointly make an invention or discovery, MCCP and Client will exert their best reasonable efforts in cooperation with each other to evaluate and determine, to the satisfaction of the parties, the disposition of rights to the invention or discovery.

Client shall own all inventions, discoveries, and other developments made solely by Client using or incorporating information received from MCCP, if such inventions, discoveries, and developments were made without any direct consultation with, or advice from, MCCP regarding such specific inventions, discoveries, or developments.

11. Limitation of Liability

MCCP and Principal Consultant shall not be liable for (I) any special, indirect, consequential, exemplary, incidental or punitive damages, including any lost profits or loss of business arising out of or related to this Agreement or its subject matter, however caused and on any theory of liability (including, but not limited to, negligence), or (II) damages, in the aggregate, in excess of the amounts paid to it hereunder, even if it has been advised of the possibility of such damages or loss.

12. Disclaimer of Warranties

MCCP disclaims all warranties, including, but not limited to, the implied warranties of merchantability or fitness for a particular purpose, or any representations, warranties, or guaranties relating to this Agreement or any of its activities or obligations hereunder.

13. Entire Agreement; Amendment

This Agreement represents the only Agreement between the parties concerning the subject matter hereof and supersedes all prior agreements, whether written or oral, relating hereto. No amendment or modification of this Agreement shall be binding unless set forth in a written document signed by the parties.

14. Waiver

A waiver by either party of a breach or violation of any provision of this Agreement will not constitute or be construed as a waiver of any subsequent breach or violation of that provision or of any other provision of this Agreement.

15. Assignment

This Agreement shall be binding upon and inure to the benefit of the parties and their successors and assigns.

16. Headings

Section headings are provided solely for the convenience of the parties and shall not affect the interpretation of this Agreement.

17. Notices

All notices provided in connection with this Agreement shall be in writing and shall be deemed validly given when received if delivered personally, by fax, or when deposited in the U.S. mail for delivery by certified mail.

18. Severability

If any term of this Agreement is deemed unenforceable, void, voidable, or illegal, such unenforceable, void, voidable, or illegal term shall be deemed severable from all other terms of this Agreement, and this Agreement, as amended, shall otherwise continue in full force and effect.

19. Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the State of New York, except that no New York conflicts of law or choice of law provision shall apply to this Agreement.

20. Authority

Client represents and warrants that the signatory below has the full power and authority to enter into this Agreement and perform Client’s obligations under this Agreement as set forth herein.

Agreed and Accepted: By clicking “I Agree,” I hereby bind Client to the terms of this Agreement as of the Effective Date.

I AGREE