CCS-P / Agency for Healthcare Research / Accreditation Ron Purisima / DCH / Peach State Interviewees Name Title Dean Greeson / Health Services Advisory Group Inc. / Ron Holcomb / Microsoft / Communication Joyce McElwain / Medical Management Vandna Pandita / Member/Provider Services Clyde White / Quality Improvement Analytics Donna McIntosh / / /
Event
Person Communication and Meetings / Conference Call / FDA Phase / /
Facility
Enterprise Data Warehouse / / /
IndustryTerm
data backup protocols / pre-on-site / claims processing / claims/encounters data systems / information systems / organizational infrastructure / Post-on-site / transaction processing / code review management / corporate information technology staff / data processing / eligibility/enrollment data systems / local data processing staff / diagnosis-related / review tools / performance measure validation protocol / timely and accurate processing / /
Organization
Audit Department / Georgia Department of Community Health Validation of Performance Measures for Peach State Health Plan Measurement Period / Medicare / NCQAlicensed / National Committee for Quality Assurance / Agency for Healthcare Research and Quality / Care Management Organization / /
Person
Compliance Alfred Miller / Patience Hoag / Yolanda Spivey / Irene Lord Supervisor / Donna McIntosh / Melissa C. Brashears / David Mabb / Joyce McElwain / Compliance Mamiele McMichael / Kelly Stewart / Clyde White / / /
Position
Director / Provider Data Analytics Chevron Cardenas Senior Director / Supervisor / Medical Management Vandna Pandita Manager / CPA Secondary Auditor Management / Director Peach State Finance / Vice President / public accountant / Manager / Quality Improvement Analytics / Supervisor / Regulatory Affairs and Communication / auditor / Senior Finance Director / Officer / CPHQ Lead Auditor Certified HEDIS auditor / Director / Member/Provider Services Clyde White Vice / Director / Quality Management / HCSA Project Coordinator / Manager / Provider Data Debra Peterson-Smith Supervisor / Vice President / Medical Affairs / Director / lead auditor / Manager / /
Product
Amisys system / Amisys / F1 / Use / /
ProgrammingLanguage
Microsoft Access / SQL / /
ProvinceOrState
Missouri / Georgia / Arizona / /
PublishedMedium
the ISCAT review / /
Technology
Data Warehouse / CMS protocol / information technology / optical character recognition / data backup protocols / Analysis The CMS performance measure validation protocol / CMS performance measure validation protocol / /
PeachState_E-rpt_GA2010-11_CMO_PMV_Audted_HEDIS_Results_F1.xlsx