Constellation Quality Health

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Constellation Quality Health Constellation Quality Health is a leading health care quality organization.

CCME provides its clients with strategic expertise and solutions that make a meaningful difference in how providers deliver care and how patients receive care. Since the 1980s, CCME has partnered with health care entities and consumers to create healthier communities. Through our work in quality improvement initiatives, Medicaid review and cost-reduction, and data analytics services, CCME serves h

ealth care providers, networks, and payers – in both public and private sectors – to facilitate better health outcomes at lower costs.

Congratulations to Dr. Michael Seemuller on receiving the 2025 Llewelyn Memorial Award! We’re honored to recognize your ...
13/08/2025

Congratulations to Dr. Michael Seemuller on receiving the 2025 Llewelyn Memorial Award! We’re honored to recognize your outstanding contributions to health care in South Carolina.

Congratulations to Dr. Michael Seemuller, our chief quality officer, on being named the 2025 Llewelyn Memorial Award winner by Constellation Quality Health, a nonprofit health care quality consulting organization that’s worked to honor outstanding achievements in the Carolinas for more than 25 years.

The award is presented annually to a South Carolina physician who’s made significant contributions to the practice of medicine and outstanding patient care.

“While I am truly honored to receive the award, I share the recognition with the thousands of AnMed teammates who impact lives in our community,” Dr. Seemuller said. “We are doing great things in our community, and I am happy to be part of that.”

⏳ Last Call – Nominations Close August 15!Do you know an exceptional North Carolina physician who goes above and beyond ...
12/08/2025

⏳ Last Call – Nominations Close August 15!
Do you know an exceptional North Carolina physician who goes above and beyond for their patients and community?

Constellation Quality Health is accepting final nominations for the 2025 Harris Memorial Award, honoring the legacy of Dr. T. Reginald Harris. This award recognizes physicians who demonstrate outstanding leadership, innovation, and a commitment to quality care.

The winning physician will receive a $5,000 donation to the charity of their choice.

📅 Submit your nomination by August 15, 2025, and help us celebrate excellence in medicine.
🔗https://constellationqualityhealth.org/physician-awards/

📍Connect with Our Team at NAMPI 2025 in St. Louis.We’re excited to connect with industry leaders and peers in Medicaid P...
07/08/2025

📍Connect with Our Team at NAMPI 2025 in St. Louis.
We’re excited to connect with industry leaders and peers in Medicaid Program Integrity at this year’s conference!

Stop by Booth #11 to meet members of the Constellation Quality Health team:
• Robyn Winters, RN, QP, AHFI, BSA – Director of Payment Integrity
• Janet Ellis, CFE, RDH, CPC, CPCO – Prepayment Claims Review Contract Supervisor
• Scott Wilson – Vice President of Revenue

We look forward to having meaningful conversations at NAMPI 2025!

06/08/2025

It is with regret we announce the cancellation of the 2025 Hypertension Summit. The Administrative Committee agreed to cancel The Summit this year due to low response to communications and changes in federal legislation that we believe is and will continue to negatively impact attendance to the cohort this meeting was designed to reach.

If you have questions, please contact Randy Glick, Executive Director of Southern Medical Association via email education@sma.org.

🌟 Employee SpotlightEach month, we’re proud to highlight one of the incredible individuals behind Constellation Quality ...
05/08/2025

🌟 Employee Spotlight
Each month, we’re proud to highlight one of the incredible individuals behind Constellation Quality Health.

Meet Sydnie Fleming, MS, CHW, a passionate community engagement specialist and certified Community Health Worker. Sydnie brings both lived experience and public health expertise to her role, helping bridge gaps in healthcare access through education, outreach, and advocacy. Her commitment to health equity and community well-being is a vital part of our mission.

Thank you, Sydnie, for the dedication you bring to our team and the communities we serve. 💙

🧠 What’s driving common deficiencies in healthcare quality?Join us for August’s Quality Leaders Webinar as we explore th...
04/08/2025

🧠 What’s driving common deficiencies in healthcare quality?

Join us for August’s Quality Leaders Webinar as we explore the 10 most frequently cited regulatory tags in healthcare surveys and inspections. Learn about the root causes behind these citations and more importantly, how to prevent them.

You’ll walk away with practical strategies to:
✔️ Integrate regulatory standards into everyday nursing practice
✔️ Prevent repeat citations
✔️ Improve your organization’s survey readiness

Whether you're a seasoned quality professional or just getting started, this session offers key insights to enhance your quality improvement efforts.

📅 Date: August 21, 2025
🕒 Time: 11:00 AM EST
🔗 Register now: https://us02web.zoom.us/meeting/register/rRw1KiePQ8qDaip0Zb0kNg

🎉Happy 10-year work anniversary to Landi Anderson, Becky Estes, and Beth Lanford! 🙏 A big thank you for your dedication ...
01/08/2025

🎉Happy 10-year work anniversary to Landi Anderson, Becky Estes, and Beth Lanford! 🙏 A big thank you for your dedication and hard work over the past decade. Your contributions and commitment have been instrumental to our success. 👏

With 30+ years of nursing experience, Landi specializes in Medicaid and Medicare claims review, utilization review, prior authorizations, and health care compliance.

Becky applies her executive legal secretary background, knowledge of legal terminology, and experience managing case files and records, including privacy regulations and data protection requirements, to her specialized role.

Beth is skilled in workflow refinement, chronic disease management education, and emergency preparedness training to drive system-wide improvements in health care settings.

Congratulations! We're so grateful to have you on the Constellation team!

Robyn Winters and Janet Ellis take the stage at the National Association for Medicaid Program Integrity (NAMPI) Conferen...
31/07/2025

Robyn Winters and Janet Ellis take the stage at the National Association for Medicaid Program Integrity (NAMPI) Conference in St. Louis, sharing insights in their "Smiling All the Way to the Bank" a dental fraud, waste, and abuse case study.

Join their breakout session presentation at the event on August 26th at 2:40 PM to learn if you're at risk of dental fraud and the resources and tools needed to prevent and uncover it.

From individual case support to provider audit projects, our FWA team is here to help! 👉claimsreview@constellationqh.org
🔗Learn more: www. https://constellationqualityhealth.org/fraud-waste-and-abuse/

Is your QAPI program driving leadership and culture, or just meeting requirements?When implemented strategically, QAPI b...
28/07/2025

Is your QAPI program driving leadership and culture, or just meeting requirements?

When implemented strategically, QAPI becomes a powerful leadership tool in skilled nursing. It drives system-based solutions, strengthens regulatory readiness, and fosters staff engagement across departments.

By prioritizing collaboration, structure, and continuous improvement, facilities can elevate care outcomes and team accountability.

Empower teams. Elevate care.

🔗 Read more: https://lnkd.in/ec2zpps3

You support a charity when you nominate an outstanding physician for the Harris Award, which includes a $5,000 donation ...
25/07/2025

You support a charity when you nominate an outstanding physician for the Harris Award, which includes a $5,000 donation to the recipient's charity of choice.

The award honors practicing physicians in North Carolina who have demonstrated outstanding performance, leadership, and innovation in delivering quality care to patients. Make your nomination by August 15, 2025.

👉https://lnkd.in/dDb2c77n





All hail, community health workers! They are the connectors—bridging gaps between health care systems and the people who...
22/07/2025

All hail, community health workers! They are the connectors—bridging gaps between health care systems and the people who need them most.

At Constellation Quality Health, we built Vega to support their work. With intuitive tracking tools, data exports, and real-time outcomes metrics, Vega helps community health teams prove what they’ve always known: their programs save lives, reduce disparities, and create healthier communities.

When we give CHWs the right tools, we amplify their impact.

Join us this month to learn more about food insecurity and nutrition. Back by popular demand! Timothy Martin, a second-y...
18/07/2025

Join us this month to learn more about food insecurity and nutrition.

Back by popular demand! Timothy Martin, a second-year University of Mississippi Medical School student, and peer Sarah Sawaya from the Student Nutrition Services Group, will share updates on their ongoing program. Their initiative continues to address food insecurity while emphasizing the importance of health and nutrition.

Date: Thursday, July 24, 2025
Time: 12:00 pm – 1:00 pm EST

Register now: https://iecho.org/public/program/PRGM1708971721668ATTEUOM16N

👉Learn more about how Constellation Quality Health is advancing the integration of social determinants in health care: www.constellationqualityhealth.org/constellation-regional-collaborative

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Opening Hours

Monday 08:00 - 17:00
Tuesday 08:00 - 17:00
Wednesday 08:00 - 17:00
Thursday 08:00 - 17:00
Friday 08:00 - 17:00

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(919)4615500

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