Solutions / Compliance & Auditing

  1. HIPAA Compliance
  2. HIM Compliance
  3. Regulatory Compliance, etc.
  1. Full Charge Capture for facility and pro-fee
  2. DRG review / audit
  3. RAC Audits
  4. JCAHO Audits – we help you prepare
  5. Evaluation & Management Audits (1995 or 1997 Guidelines)
  6. Data Quality – CMS-HCC (Hierarchical Condition Category) Risk Adjustment Audits
  7. Utilization Management – Disease Targeted (InterQual Criteria)
  1. Data Quality – CMS-HCC (Hierarchical Condition Category) Risk Adjustment Audits
  2. Evaluation & Management Audits (1995 or 1997 Guidelines)
  3. HEDIS (health plan employer data and information set)
      1. Core set of performance measures for managed care plans
      2. Measure 5 key performance areas (Quality, Access, Patient Satisfaction, Membership and Utilization
  4. P4P

© 2018 Health Care Consultants, Inc. All rights reserved.       661-252-7878     |     hr@healthcareconsultantsinc.com