Managed Care Compliance

We offer a full portfolio of Clinically Oriented services:

Clinical Documentation Improvement (CDI)

    • Real-time review, analysis and feedback on medical necessity 
    • For medical / surgical and behavioral health facilities and providers
    • Over 60 seasoned physicians offering extra capacity
    • On-demand, case-by-case feedback on clinical medical necessity documentation
    • Flexible fee structures
    • HIPAA compliant platform – integration optional
    • Addresses care rendered in acute, subacute and ambulatory settings

Value Based Documentation

Interim Staffing (i.e. C-Suite, Medical Director, Quality Dept., UM, CM, A&G)

Health Risk Assessments (National clinical HRA network)

    • In-home and telephonic assessments
    • Medicaid / Medicare / Duals assessments
    • Unable to Reach campaigns ( UTR / UTC member engagement)

Clinical Content Development

Coding Review

Contact us to learn more.

Additional services for payers and managed care clients:

Accreditation Support and Readiness

HITRUST Readiness

Private Label ERISA Documents

Education and Leadership Development

Performance Evaluation and Improvement

Physician Advisory Services

PPO and TPA Consulting

Business Development

Marketing Services

Ivy Solutions Group