Current Services
NCQA Surveys (HP, PHP, CM)
Our consulting firm was originally started to support organizations on their NCQA journeys. Whether it is your first time preparing for a survey or if you simply need a fresh set of eyes and a new perspective, we are here to help. We can handle everything from a brand new readiness assessment and gap analysis to your final submission and everything in between. Services include, but are not limited to:
- Readiness Assessments & Gap Analyses
- Document Creation
- Document Review & Preparation
- Mock File Reviews
- Staff Education
- Complete Survey Management
With over a dozen recent surveys, all with scores of 98.5 points or better, you can rest easy knowing that you're in good hands. See the "NCQA SERVICES" tab for more detailed information!
Case Management
Our case management experts can help you to improve program engagement, clinical and non-clinical documentation, and internal processes. Our reviews often reveal missed opportunities and processes that were incorrectly followed. These issues can lead to poorer outcomes for your patients or members and result in higher costs associated with unplanned transitions and readmissions.
We also conduct comprehensive policy reviews to ensure you’re current with the latest NCQA & CMS guidelines. This can include general policies, desktop procedures and job aides, workflows, call scripts, and everything in between. Doing so allows you to update your internal processes to keep with up industry trends and best practices.
Quality of Care Reviews
Did you know that nearly 400,000 hospitalized patients experience some type of preventable harm each year according to the National Institute of Health? These types of medical errors cost organizations billions of dollars and can result in as many as 100,000 deaths per year.
We have a Certified Legal Nurse Consultant on staff to conduct thorough and objective, third-party reviews of your patient safety, quality of care, and sentinel events. Our reviews can help identify broken or absent processes and reveal missed opportunities or oversights. We will also take the time to make recommendations to your organization, if applicable, to ensure you are better prepared for the future.