article thumbnail

Ensuring Provider Directory Compliance With H.R. 133

Verisys

Should a group health plan, insurer, or state agency find that time is running out on achieving regulatory compliance with H.R. Donald Potts has helped healthcare customers define business problems and design innovative solutions since he started at Optum in 2008. The post Ensuring Provider Directory Compliance With H.R.

article thumbnail

Properly Classify Grievances to Improve Member Experience using Inovaare’s Grievance Management Software

Innovaare Compliance

Operational teams—such as the Member Services Department and the Appeals & Grievances Department—have significant compliance regulations, so they must know to maintain compliance. This includes CMS regulations for Medicare Plans, regulations for Commercial Plans and Medicaid regulations for state plans.

article thumbnail

CMS 2022 Protocols for MMP SARAG & MMP CDAG Universe Submission

Innovaare Compliance

Armed with this regulatory compliance information, you should be in a better position to create accurate universes that comply with the latest Medicare and Medicaid protocols. Inovaare has been providing healthcare organizations with quality services that help them comply to Medicare/Medicaid regulations since 2008.