About Us

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About us

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About us

About The Company

Welcome to QPH 5.0 Healthcare Consulting Group, LLC ™, your trusted partner in healthcare consulting. We are a team of leading professionals who are dedicated to providing proven strategies that help our clients achieve top-tier HEDIS ™ rates in their state and in the top 25 nationally. Our expertise lies in NCQA accreditation consulting, specifically in the areas of health plan accreditation, managed behavioral healthcare organization accreditation, health equity accreditation, and patient-centered medical home accreditation. We also provide quality department governance services, including structuring your quality department, retention strategies for quality staff, and training programs for quality staff. At QPH 5.0 Healthcare Consulting Group, LLC, ™ we understand the importance of achieving high-quality
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standards and we offer NCQA/HEDIS ™ mock auditing, STAR/CMS mock auditing, and guidance on how to score 100% on NCQA standards. We also specialize in data optimization, population health strategies, and proven interventions that help close care gaps via direct member and provider engagement. Our team of experts can assist you with the development of key reports that drive outreach and outcomes, as well as quality document review, quality trilogy set templates using Six Sigma methodology, and other services as needed. At Healthcare Consulting Group, LLC ™, we are committed to providing exceptional service and delivering results that exceed our clients’ expectations. Let us help you achieve your healthcare goals and take your organization to the next level. Contact us today to learn more about how we can support your success.

QPH 5.0 is a healthcare consulting Group, LLC ™company of leading professionals in providing proven strategies that have achieved top-tier operational excellence including but not limited to >$10K in grant opportunities annually, HEDIS ™ Rates in the State and the Top 25 Nationally using the Member Report Card for Care or Service Gaps©, etc. We have expert operations, accreditation, and transportation consulting experience in the following areas:

  • Expert Guidance on Business Operations and Structure
  • Expert Guidance on Grant Opportunities to further your Company’s Mission/Vision
  • Expert Scrum Project Management Support
  • Health Plan Accreditation
  • Managed Behavioral Healthcare Organization Accreditation
  • Health Equity Accreditation
  • Patient-Centered Medical Home Accreditation
  • Expert Guidance on Closing Care Gaps for your population
  • Medical Equipment Transportation

Quality Department Governance:

  • Structuring your Quality Dept.
  • Retention Strategies for Quality Staff
  • Training Programs for Quality Staff
  • NCQA/HEDIS Mock Auditing
  • • STAR/CMS Mock Auditing
  • STAR/CMS Mock Auditing
  • Data Optimization
  • Population Health Strategies and proven interventions that close care gaps via direct
  • Member and Provider Engagement
  • Guidance on the development of key reports that drive outreach and outcomes
  • Quality Documents Review

About The Company

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About Us

A doctor is using his laptop while sitting at the desk.
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About us

About The Company

A healthcare consulting firm that can help you build a quality department from A-Z, to include recruitment of staff, training, retention of staff which all result in a healthy community, HEDIS rates that you can be proud of, and increased revenue as a result of improved HEDIS/STAR Ratings with a goal of 4 STAR or higher for NCQA and CMS.
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