Health Information Technology and Healthcare Consulting

Capabilities

Medical Review
Appeals
Quality of Care Complaint Evaluations
Healthcare Data Analysis and Data Management
Medical Record Request, Receipt, Storage, and Management
Clinical Review and Assessment
Chart Abstraction
Clinical Data Validation
MMIS and Eligibility Program Subject Matter Expertise
ICD-10 Training and Consultation

Expertise

NIST, FISMA and HIPAA Requirements
Section 508 compliance
Clinical Coding and Classification Systems
Medicare and Medicaid Payments and Policies
Medicare and Medicaid Auditing and Reimbursement
Mailroom and Call Center operations specializing in securing hard to retrieve documentation
Software Development in support of case management and credentialing
Developing and maintaining large databases for multiple platforms and distributed analytic teams
Performing Transparent data collection and preparation for research protocols
Performing complex data mining and statistical modeling for policy relevant analysis
Public HHS program eligibility determination and enrollment support

Experience

BFCC-QIO (Areas 1 and 5)
CERT Documentation Contractor
BFCC-QIO Medical Record Request, Receipt, Conversion and Storage
CMS Payment Error Rate Measurement (PERM) Database Documentation Contractor
PERM Data Standardization for MMIS in all 50 States
MAC Medical Review Center
Maryland QMDC
CMS ZPIC Physician Review
ISO Certified QMA text America Systems Registrar Logo ANAB Accredited Logo SOC 2 for Type II Audit logo CMMI for Dev Level 3 Logo