Services
Expert Services
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Revenue Cycle Management
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SVRS and Data Analysis
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Compliance in Documentation and Coding
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Audits and Independent Evaluations
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Implementation of Compliance Programs
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Investigations and Corrective Action Plans
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Operational and Workflow Management
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Tailored Training and Educational Programs
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Expert Witness and Litigation Support
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Credentialing Services
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Medicare Audits and Appeals Assistance
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Medicare Enrollment Revocation and Preclusion Appeals
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Denials may be due to credentialing issues.
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Credentialing – ask about our national full-service credentialing team
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Health Plan Enrollments
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State licensure and other registrations
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PECOS and CAQH
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Maintenance packages
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Merger and acquisitions
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New practice and provider onboarding expertise
Its the most important insurance policy you may ever have.
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Program assessment, development and implementation support
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Audit workplan support
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Annual FWA and RCM training and education
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Corporate Integrity Agreement (CIA) 90-day implementation support
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Medicare & Medicaid program integrity
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Health plan audit and appeal support (TPE, UPIC, RAC, SMRC)
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Investigations and root cause analysis
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Corrective Action Plans (CAP)
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Voluntary Corporate Integrity Improvement Plans
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Turn Around Strategies and Implementation Team
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Litigation Support
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Experienced Healthcare and Litigation Support Services
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Investigation related to the revocation and independent assessment of the issues.
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Specialty Specific Subject Matter Experts
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OIG/ SIU investigators and UPIC Audit Experts
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Audit and Appeal Investigations and Reconsiderations
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CMS Revocation & Preclusion Reconsideration response preparation, submission and support
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Corrective Action and Voluntary Rehabilitation ( turn around) Support Team including but not limited to:
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Coordinated CAP Project management and oversight
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Comprehensive Custom Compliance Program, implementation support, and interim CO and committee
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Experienced Outsourced Revenue Cycle Integrity / Management Team
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EMR/ LIS / IT Support
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Auditing and Monitoring with Education
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Credentialing & Exclusion Checking Services
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Reporting if required ( similar to CIA reporting )
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Other Custom Workflow and Compliance related strategies based on the nature of the revocation
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Be proactive! Give your staff and providers the tools and knowledge they need to be successful.
Custom training and education packages are available to suit your specialty and your needs.
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National Speaker
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Multispecialty Documentation and coding compliance
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Evaluation & Management documentation and coding experts
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Fraud Waste and Abuse compliance training
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Enforcement Actions and Risk Mitigation Strategies
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Audits and Enforcement Actions
Revenue cycle integrity starts at the front desk and ends with complete and proper payment.
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RC Assessments
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Documentation and coding compliance
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Analytics support - Simple and complex
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Audits - Multispecialty prospective and retrospective (ask about our niche areas of expertise)
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Statistically valid random sampling
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Workflow assessments and denial management
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RCM Staff quality assurance and education packages
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Independent review of the issues/ dispute
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Affidavits
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EW Reports
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Arbitration & Mediation Testimony experience
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Deposition and trial experience
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