Consulting Services
Sometimes, agencies need a consultant who can look at their operations more closely from a third-party perspective. Our experts provide answers to your regulatory questions.
Check out NMAHHC’s Consulting Menu of Services
- Review agency policy and procedure manual for compliance with Managed Care Policy Manual, New Mexico Administrative Code, and any other regulatory liabilities
- Provide agency with a report identifying any policy deficiencies and recommendations to strengthen, as appropriate
- Provide agency with 2 one-hour consultation sessions (can be combined into 1 two-hour consultation session) to review findings, make recommendations, and answer questions.
- Review PCS client files for documentation of compliance with Managed Care Policy Manual, New Mexico Administrative Code, and any other regulatory policies.
- Provide agency with a report identifying any deficiencies and recommendations to train staff, as appropriate
- Provide agency with 2 one-hour consultation sessions (can be combined into 1 two-hour consultation session) to review findings, make recommendations, and answer questions.
- Review agency policy and procedure manual for compliance with New Mexico Administrative Code, and any other regulatory liabilities.
- Conduct chart review
- Observe 2 patient visits
- Provide agency with a report identifying any deficiencies and recommendations to train staff, as appropriate
- Provide agency with 2 one-hour consultation sessions (can be combined into 1 two-hour consultation session) to review findings, make recommendations, and answer questions.
- Review agency policy and procedure manual for compliance with New Mexico Administrative Code, and any other regulatory liabilities.
- Conduct chart review
- Observe 4-5 patient visits
- Provide agency with 2 one-hour consultation sessions (can be combined into 1 two-hour consultation session) to review findings, make recommendations, and answer questions.
- Assisting with negotiations of contracts with Managed Care Organizations (MCOs), Medicaid, Medicare Advantage, and commercial insurers.
- Advising on reimbursement models, rate structures, and performance-based incentives
- Building strategies to maintain strong payer-provider relationships
- Review of contract language to assist and protect providers
- Review of reimbursement terms
- Assist with negotiations of contracts with Managed Care Organizations (MCOs), Medicaid, Medicare Advantage, and commercial insurers
- Exam score sheet (blank)
- Score sheet with answer key
- Score sheet with subjects tested and the topics guide