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How to Build a CPE Tracer: Best Practices to Focus on Prevention, Detection, and Correction Using Misclassified Grievances
Michelle Larson, Consultant. Milly Koranteng, Vice President & Compliance Officer, Medica. Hannah LaMere, Director, Special Projects, Cody Consulting Group, Inc..
February 1, 2021
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Prevention: Apply prevention methods to avoid misclassified grievances, identify training needs, review of regulations, guidance and audit protocols, updating policies and procedures
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Detection: Provide suggestions on how to add rigor to compliance staff oversight of call routing and classification of inquiries, grievances, organization determinations, coverage determinations
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Correction: Learn the critical questions to consider when building Corrective Action Plans. A template will be reviewed
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