Managed Care Organizations
In managed care, you confront the complexities of regulatory changes, data privacy concerns, and the need to prevent fraud, waste, and abuse. Simply Compliance is here to help you tackle these challenges effectively, ensuring your organization remains compliant and operates smoothly.
Our Compliance Services Include:
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Compliance Effectiveness Audits
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Workplan Development
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Regulatory Updates and Guidance
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Medicare Managed Care Manual Chapters 9 & 21 Implementation
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Risk Assessment and Mitigation
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Medicare and Medicaid Conditions of Participation Advisory
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State Request for Proposal (RFP) Support
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Quality Improvement Programs
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Internal Audit Planning and Implementation
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Delegation Oversight, Vendor, and Third-Party Management
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Member Rights and Confidentiality Programs
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Data Privacy and Security Compliance