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EQRO Services

QSource staff provides mandated and optional activities outlined in the External Quality Review (EQR) regulations, and offers customized programs based on a diverse range of services, including:

  • Assessment of Managed Care Organization (MCO), Dental Benefits Management (DBM) and Behavioral Health Organization (BHO) internal administrative processes
  • Expertise in Federal and State EQR requirements
  • Early Periodic Screening Diagnosis and Treatment (EPSDT) review
  • Assessment and evaluation of performance improvement projects
  • Focused clinical studies
  • Encounter data validation, analysis and reporting
  • Technical assistance in performance improvement planning,
    HEDIS® compliance and data analysis
  • Quality improvement program development and administration.
  • Educational programs
  • State-level and health plan-specific technical reports
  • Individual case review

 

 
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