NAMPI Member Portal | Cindi Furlough | Activity https://member.nampi.net/members/cindi-furloughtn-gov/activity/ Activity feed for Cindi Furlough. Fri, 24 Apr 2026 17:30:22 -0400 https://buddypress.org/?v=2.14.4 en-US 30 hourly 2 b14a2a0d4b8e13b7b3a0f7dcb7cd7434 Cindi Furlough replied to the discussion Annual Awards - Employee or Case of the Year in the forum State Only Forum https://member.nampi.net/nampi-member-forums/discussion/annual-awards-employee-or-case-of-the-year/#post-3938 Tue, 06 Jan 2026 21:38:01 -0500 Reply to Annual Awards - Employee or Case of the Year

Hi Melissa,

In Tennessee, we hold an annual Summit (it’s like a mini-NAMPI) where attendees from all of our Managed Care Contractors, MFCD, Attorney General’s Office, and various other State partners. At that Summit, I recognize the MCO with the most referrals accepted by Law Enforcement every year. Throughout the year, I will also take note…

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]]> 3d37e45e9bd4f9a4fdbeb30b6003113d Cindi Furlough started the discussion Data Mining Initiatives Template in the forum State Only Forum https://member.nampi.net/nampi-member-forums/discussion/data-mining-initiatives-template/ Fri, 19 Sep 2025 15:32:32 -0400 Data Mining Initiatives Template

Happy Friday!!!

I’m interested if any state has a template they provide to their MCO’s for the MCO to report their data mining initiatives? If so, would you mind sharing so Tennessee can use as a guide when developing our own report for this? It can be sent to me at Cindi.Furlough@tn.gov.

Thank you

]]> cc64db61bced913fd7c961164f8189c9 Cindi Furlough posted an update: Hello fellow Nampians, Tennessee is trying to develop a […] https://member.nampi.net/news-feed/p/2858/ Wed, 22 May 2024 20:07:06 -0400 Hello fellow Nampians,

Tennessee is trying to develop a list or table that matches the corresponding citation with the names of the
screenings, registries, etc of each category type, the required frequency
(Initial/Monthly/Annually), and who is required to conduct them, for example,
Subcontractors, Contractors, MCO’s, the State, and/or…

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]]> 0 8f8046b563070890d3a2cb3075aba809 Cindi Furlough replied to the discussion UPIC Final Findings Report (FFR) in the forum State Only Forum https://member.nampi.net/nampi-member-forums/discussion/upic-final-findings-report-ffr/#post-1837 Thu, 29 Dec 2022 17:30:55 -0500 Reply to UPIC Final Findings Report (FFR)

Thank you for the info!

]]> 9d78b74fe9a6e93ce54f20d9b2a2aaf6 Cindi Furlough started the discussion UPIC Final Findings Report (FFR) in the forum State Only Forum https://member.nampi.net/nampi-member-forums/discussion/upic-final-findings-report-ffr/ Thu, 29 Dec 2022 16:31:44 -0500 UPIC Final Findings Report (FFR)

Has anyone made it to the point of the UPIC submitting an FFR and disagreed with their findings/was not interested in pursuing their identified overpayment? We received an FFR with a lot of technical denials but the physician reviewer mentioned in the exhibit that the member was eligible for services (hospice). Now that the FFR has been…

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]]> 90c3a2ea1e11aeebdacfd33519c052e3 Cindi Furlough replied to the discussion MCO Contracts and Program Integrity in the forum State Only Forum https://member.nampi.net/nampi-member-forums/discussion/mco-contracts-and-program-integrity/#post-1713 Tue, 16 Aug 2022 17:24:16 -0400 Reply to MCO Contracts and Program Integrity

Hi Mary Kay, Tennessee is actually preparing a presentation on exactly all of what you have listed for the MII Managed Care Symposium on September 7th! If you are unable to attend it, I can send you the presentation when it’s completed to see if it helps any. Also, I will search for your email and send you our Managed Care Program…

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