Improving regulatory compliance
Outlook Associates has extensive experience in quality improvement (QI) and meeting regulatory requirements. Our staff includes registered nurses who are well-versed in establishing quality improvement programs as well as certified NCQA auditors. Outlook Associates can help you assure accurate reporting and regulatory compliance.

NCQA/HEDIS Readiness
Evaluate your operational processes and information systems to verify they support accurate NCQA/HEDIS reporting requirements. Conduct "mock surveys" to prepare for audits. Determine business process and system improvements to increase administrative scores and reduce medical record review expenses.

HIPAA Compliance
View HIPAA as an opportunity to improve processes and not just another regulatory burden. Assess your compliance with Transactions, Privacy and Security Administration Simplification Regulations. Develop and implement remediation plans and discover the hidden benefits of HIPAA compliance.

For physician practices, a quick, cost-effective assessment and HIPAA "Toolkit" is available.

JCAHO Preparation
Develop action plans to correct identified deficiencies. Conduct a "mock survey" to assist you with accreditation survey preparation. Assist you with the appeals process.

Quality Improvement
Evaluate administrative and clinical processes and coding using "best practice" guidelines to identify potential cost savings and quality improvement opportunities. Develop and document quality improvement measures.

Encounter Data Submission Compliance
Design collection and integration processes and system solutions for data collection. Measure and improve encounter data integrity. Identify data reporting solutions and facilitate Electronic Data Interchange (EDI).

Claims Compliance
Quickly evaluate and assess current inventory, backlog, resubmission and incorrect payment volumes. Plan and implement immediate improvement efforts to re-gain compliant claims operations.