• Medicare, Medicaid & exchange Agreements
  • Medical management of risk and non risk Provider Agreements
  • Monthly Review of all Capitation Payments
  • Monthy review of HEDIS measures and Care Gaps
  • Monthly review of Emergency frequency visits
  • Monthly review of High cost membership
  • Pharmacy reports including use of percentage of generics and alternative options and savings
  • Physician Daily Hospital Census
  • MRA coding Review
  • Diagnosis Coding Support and Review
  • HEDIS Review
  • Social department to help Medicare members for State benefits
  • Marketing Agents to help to increase membership to all Partners in all line of businesses
  • Electronic Medicial Record Review and Consulting
  • Help Providers to achieve financial goals and positive sound practices with advice and education