Solutions / Compliance & Auditing
- Compliance Program Implementation – (write a compliance plan if needed)
- HIPAA Compliance
- HIM Compliance
- Regulatory Compliance, etc.
- Full Charge Capture for facility and pro-fee
- DRG review / audit
- RAC Audits
- JC Audits – we help you prepare
- Evaluation & Management Audits
- Data Quality – CMS-HCC Risk Adjustment Audits
- Utilization Management – Disease Targeted (InterQual Criteria)
- Physician Groups – Audits
- Data Quality – CMS-HCC (Hierarchical Condition Category) Risk Adjustment Audits
- Evaluation & Management Audits
- HEDIS (health plan employer data and information set)
- Core set of performance measures for managed care plans
- Measure 5 key performance areas (Quality, Access, Patient Satisfaction, Membership and Utilization)
- P4P