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:

 

Consulting Services

Scope

Cost

PCS Policy & Procedure Evaluation

  • 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.

Total: $2,000 (plus GRT)

 

PCS Desk Audit

  • 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.

Total: $2,500 (plus GRT)

Initial Certification Mock Survey 

(New Agency)

  • 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.

Total: $2,500 (plus GRT)

Extended Mock Survey  

(established agency)

  • 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.

Total: $4,500 (plus GRT)

Revenue Cycle Review 

(1 line of business at 1 location)

●        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

Total: $500 (plus GRT)

 

Contract Review

 

●        Review of contract language to assist and protect providers

●        Review of reimbursement terms

●        Report any findings and provide feedback on re-contracting if necessary.

Total

1-4 contract $187.50 (plus GRT)

5-8 contacts 437.50 contract (plus GRT)

Email for more information

 

Email Meggin Lorino for more information at [email protected].