Consulting Services
Our regulatory experts provide answers to your regulatory and reimbursement questions. Sometimes, agencies need to hire a consultant who can look at their operations more closely from a third party perspective.
Check out NMAHHC’s Consulting Menu of Services:
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Consulting Services
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Scope
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Cost
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PCS Policy & Procedure Evaluation
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- 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.
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Total: $2,000 (plus GRT)
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PCS Desk Audit
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- 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.
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Total: $2,500 (plus GRT)
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Initial Certification Mock Survey
(New Agency)
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- 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.
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Total: $2,500 (plus GRT)
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Extended Mock Survey
(established agency)
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- 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.
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Total: $4,500 (plus GRT)
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Revenue Cycle Review
(1 line of business at 1 location)
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● Review of contractual reimbursement terms and conditions
● Review of charge capture
● Review of claim submission
● Review of claim payment and reimbursement posting
● Provide tools that may assist in ensuring reimbursement is accurate
● Full report of findings and suggestions for improvement
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Total: $500 (plus GRT)
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Contract Review
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● Review of contract language to assist and protect providers
● Review of reimbursement terms
● Report any findings and provide feedback on re-contracting if necessary.
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Total
1-4 contract $187.50 (plus GRT)
5-8 contacts 437.50 contract (plus GRT)
Email for more information
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Email Meggin Lorino for more information at [email protected].
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