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. |
