Our managed care resources are in tune with the ever-changing requirements of accrediting agencies like NCQA and DHS.  As experts in these areas, they can provide critical consultations that protect and defend your company when you need it.

Areas of Expertise

• Disease Management
• HEDIS/Medical Surveillance
• NCQA/DHS Accredited
• Site Review
• Long-Term Acute Care
• Grievances and Appeals
• Medical Record Review
• Quality Initiatives
• Regulatory Compliance
• Rehabilitation

Resources Provided

• Registered Nurse
• Nurse Auditor/Site Reviewer
• Licensed Vocational Nurse
• Licensed Practical Nurse
• QI/QA Specialist
• HEDIS Abstractor
• Billing /Coding Specialist
• Claims Specialist

Sectors Served

• Managed Care Organizations
• Long-Term Acute Care
• Insurance Providers
• Claims Management
• Third-Party Administrators
• Medical Groups