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Credentialing and Quality Assurance
We can assist you in assessing your practice preparedness in meeting the standards established by NCQA in the even of a site visit by a representative of a Managed Care Organization. Failure to meet these standards can exclude a doctor from participation in managed care contracts. Conversely, meeting these standards can result in reduced malpractice insurance costs. The practice compliance review includes an assessment of:
- Medical Records Documentation Review
- Quality Management Plan
- Utilization Management
- Credentialing
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