Global Clinical Consulting

Clinical Operations

We can develop, revise and/or implement programs, policies and procedures and work flows

  • Compliance
  • Quality Improvement
  • Utilization Management
  • Care Coordination and Case Management
  • Model of Care
  • Training and Staff Development
  • Improving HEDIS scores and STAR ratings
  • Impacting Member Satisfaction outcomes
  • Conducting Delegation Oversight Audits
  • Recruitment and Interim Management Placement - CEO, CMO, COO, Chief Compliance Office, Health Services Leadership

Regulatory Compliance and Accreditation

We can help you prepare for surveys and audits

  • The National Committee for Quality Assurance Accreditation and Certifications (NCQA)
  • The Centers for Medicare and Medicaid Services (CMS)
  • Accreditation Association for Ambulatory Health Care, Inc. (AAAHC)
  • Community Health Accreditation Program (CHAP)
  • Commission on Accreditation of Rehabilitation Facilities (CARF)
  • Delegation reviews

Contact us for your operations, compliance, and growth needs

Disputes and Litigation

We can support preparation for legal cases through

  • Medical Record Review
  • Investigations
  • Expert Reports
  • Testimony
  • Neutral Arbitrators and Mediators