Quality Assurance 

Quality Assurance is the key to ensuring healthcare regulations are properly interpreted and implemented. Our healthcare professionals specialize in policy and procedure reviews, program measurement, benchmarking, performance improvement, and compliance across the following areas:
 

Quality Assurance (QA):

- Quality Incentive Programs

- Healthcare Effectiveness Data and Information Set (HEDIS)

- Performance Outcomes and Reporting

- Surveys

Clinical Documentation Improvement (CDI):

- Education and Training

- EHR Documentation Software

- Customizable Documentation Templates (specialty specific)

- Chronic Condition Assessment

- Clinical Indicators

          • Risk Adjustment Factor (RAF)

          • Hierarchical Condition Category (HCC)

          • Severity of Illness (SOI)

          • Risk of Mortality (ROM)

Audit and Compliance:

- Medical record reviews and maintenance

- Billing audit readiness

- Policy and Procedure Review and Development

- Provider / Payer Credentialing

Training and Education:

- Curriculum Design and Support

- Certified SME Instructors

- Customized Delivery

- Flexible Scheduling

- Remote and Onsite

- Webinars

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