Quality and Risk Management

Deliver quality improvement and risk management

The optimum way to manage quality is through a holistic approach. An effective quality and risk management program provides standardized processes and proactive risk assessments to identify problems before they occur to safeguard a healthcare organization’s financial position.

Our solution provides highly qualified interim leaders that promote inter-departmental guidance and conformity to ensure cohesive performance optimization.

Quality and risk management partner

  • align programs to collect data and support decisions that impact quality and risk
  • close care gaps through cyclical analysis and periodic pattern identification
  • proactive approach to identifying and preventing costly readmissions
  • minimize revenue leakage caused by upcoding, inflated chargemaster, recovery audits and denials
  • protect public reputation through facilitating accurate clinical quality scores
  • identify and close care gaps with an emphasis on factors that have a greater impact on HEDIS scores and financial incentives
  • monitor implementation of evidence-based practices, enhance the reliability and sustainability of clinical processes, and report promptly and accurately on participation in quality programs
  • evaluate readiness for HIPAA compliance audits, ensure successful physician contracting, and physician compensation
  • ensure strong cybersecurity defenses, system implementation, system access management, and IT general controls
  • confirm strong controls are in place for third-party vendor management, case management, clinical documentation improvement, medication management and drug diversion, and nonphysician contract management

HARMONY HEALTHCARE

We deliver expert consultants within population health and reimbursement to providers on a national basis and across all care settings. They empower healthcare organization success, enhance clinical and financial outcomes, and enable the transition to value-based healthcare.

Location

2909 West Bay to Bay Blvd., Suite 400
Tampa, FL 33629
813-369-5159

Compliance Report Line:
813-369-5165
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