Insurance / MCO

  • Assisting your organization in the performance of credentialing activities of providers requesting to become participating providers/members of the organization. 
  • Performing Site Visits of member physician offices to assess their compliance with guidelines (established by your organization – assuring compliance with such requirements as set forth by OSHA, CLIA, NCQA, HEDIS, Joint Commission, etc.).
  • For site visits, we provide to your organization a score or rating of the physician’s office following the completed site visit.
  • Offer feedback to the reviewed physician’s office with their score or rating from the site visit, if requested.
  • Should you have as a member a troubled or non-compliant physician practice, we can assist physician practices which DO NOT meet your organization’s requirements, though a full range of practice management services, such as assistance with OSHA compliance, Quality Assurance / CQI Issues, Coding Training, Medical Record Audits, Improvements in Medical Record Organization and Documentation, Assistance with Insurance / Billing Problems, and Assistance with Office Flow and Organization Issues.

  • Our firm can also assist your organization with the performance of Patient Satisfaction Surveys of your member practice’s patients.