{"memberId": "0001899681001", "clinician": "Delise Adams", "qaAnalyst": "Felecia Copeland", "queryData": [{"date": "Wed, 01 May 2024 13:24:38 GMT", "name": "Felecia ", "role": "qa", "files": [], "query": {"feedback": "Hi Delise,\n Welcome back and thanks for all you do for our members!  Your HRAs are looking really nice....just a few updates here to validate that we are actively conducting \"education.\"\nPlease kindly reconcile the following and re-submit within 24 hours:\n\n1. RESPIRATORY-\"other\"-you indicated in the comments that the member was found to have a \"pulmonary nodule\" as per MRI results.  Please check the \"follow-up with clinician/specialist\" box in the recommendation section. This validates that we are actively providing \"education\" to the members (for NCQA, HEDIS measures).\n2. GI-\"other\"-you indicated in the comments that the member was found to have a \"fatty liver.\"  Please check the \"follow-up with clinician/specialist\" box in the recommendation section. \nThis validates that we are actively providing \"education\" to the members (for NCQA, HEDIS measures)\n3. GU-\"other\"-you indicated in the comments that the member has \"erectile dysfunction\" and is taking medication. Please check the \"take medications as prescribed\" box  in the recommendation\" section. This validates that we are actively providing \"education\" to the members (for NCQA, HEDIS measures)\n\nFriendly education validation pearl :)- In the \"Assessment of Diagnosis\" section (formerly ROS), if medications are indicated for ANY diagnosis, check the \"take medications as prescribed\" box to validate that you have \"educated\" and/or advised the member to \"continue taking your medications as prescribed\" or \"great job on taking your medications as prescribed\"....this all counts for \"education.\" :).....utilize the recommendation boxes as much as possible (smile)......hope this helps.  Please reach out to me with any questions.  Thanks again for a great job!\n", "response": ""}, "mailId": ""}, {"date": "Thu, 02 May 2024 06:59:15 GMT", "name": "Delise ", "role": "nurse", "files": [], "query": {"feedback": "", "response": "Makes sense. Wish I would have read this before I completed my other charts yesterday and today.  May see the same mistake. Whoops!"}, "mailId": ""}], "memberName": "RAUL FLORES", "codingAnalyst": "", "dateOfService": "04/26/2024 04:10 PM", "clinicianMailId": "deliseadams@sbcglobal.net", "qaAnalystMailId": "fcopeland@focuscares.com", "codingAnalystMailId": ""}