Compliance
& Oversight
Are your clinical notes airtight and your panel enrollments up to date?
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Quarterly Risk Assessments: In-depth HIPAA and documentation audits on a random sample of patient charts to identify gaps and vulnerabilities.
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Clinical Note Reviews: Ensure every progress note meets payer and licensure requirements—accurate coding, treatment justification, and signature/date compliance.
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Panel Enrollment Management: Track and maintain active participation on all relevant payer panels (Medicaid, Medicare, commercial) to prevent claim rejections.
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MIPS/QPP & Regulatory Readiness: Annual prep for Medicare Quality Payment Program participation, plus ongoing state-licensure tracking and payer-policy updates.
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Custom Compliance Scorecards: Clear, actionable reports with risk-level ratings, root-cause analysis, and prioritized remediation steps.
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On-Demand Policy Support: Expert guidance within 24 hours for any compliance questions—new regulations, audit findings, or process changes.
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Expected Impact: Clients typically see an 80% reduction in audit findings, 100% license and credential currency, and zero panel-related denials within the first two quarters.
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Implementation Timeline: Kickoff in 3 business days, with your first compliance scorecard delivered within 30 days of project start.