Managed Care Compliance
We offer a full portfolio of Clinically Oriented services:
Clinical Documentation Improvement (CDI)
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- Real-time review, analysis and feedback on medical necessity
- For medical / surgical and behavioral health facilities and providers
- Over 60 seasoned physicians offering extra capacity
- On-demand, case-by-case feedback on clinical medical necessity documentation
- Flexible fee structures
- HIPAA compliant platform – integration optional
- Addresses care rendered in acute, subacute and ambulatory settings
Value Based Documentation
Interim Staffing (i.e. C-Suite, Medical Director, Quality Dept., UM, CM, A&G)
Health Risk Assessments (National clinical HRA network)
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- In-home and telephonic assessments
- Medicaid / Medicare / Duals assessments
- Unable to Reach campaigns ( UTR / UTC member engagement)
Clinical Content Development
Coding Review
Contact us to learn more.
Additional services for payers and managed care clients:
Accreditation Support and Readiness
Private Label ERISA Documents
Education and Leadership Development
Performance Evaluation and Improvement
Physician Advisory Services
PPO and TPA Consulting
Business Development
Marketing Services