Medicare Advantage: Quality Management and Utilization Management

<p>This course describes the Quality Improvement (QI) regulatory requirements for a Medicare Advantage Organization (MAO). Topics in this course include: QI Program, QIP/CCIP Projects, QI Program Effectiveness, and Utilization Management (UM). After completing this course, learners will be able to identify the basics of implementing a QI program.</p>

After this course learners will be able to identify the basics of qi program implementation. identify the standards of a qi program. recognize the processes and requirements for conducting quality improvement projects (qips). identify the required components of a um program. identify the requirements for managing delegated services. identify the essential elements of a chronic care improvement program (ccip).