The goal of our clinical Scope of Services is to bridge the gap during provider transition, health center expansion of clinical sites including programs and services as well as Interim CMO services.
Clinical Compliance Service
We can assess, develop, monitor, and maintain your compliance organizational needs providing cost effective models of implementation.
MMHCS vast experience with community Health Centers can assist you with your HRSA mock survey, reviewing policies and procedures.
Peer Review
Several aspects of Peer review covered in our model of service include medical records review, patient complaints and grievances, adverse clinical outcomes and potential adverse events at inpatient or outpatient level.
We provide these unique services to federally qualified Health Centers (FQHC) which is led by our Chief Clinical Consultant, Dr. Anil Chawla. Dr. Chawla joins us with 25 plus years of experience working in an FQHC with 20 years of experience as the Chief Medical Office. She has extensive knowledge and implementation experience with JCAHO/NCQA as well as required expertise in HRSA and OIG regulations.
Interim Provider Coverage and Support
MMHCS recognizes the skill set needed to meet community health centers’ needs. We provide:
- Mid-level supervision
- Mid-level consultations
- Refill’s services
- PAQ’s
- Interim CMO services
Quality Improvement
Quality in health care can be defined as a direct correlation between the level of improved health services and the desired health outcomes of individuals and populations. With the increased focus towards quality care and public reporting of provider level data, our staff can provide exceptional expertise for you to meet State and Federal Guidelines, including becoming Certified Patient Centered Medical Home and achieving Meaningful Use.
Credentialing
Macman Management Healthcare Services (MMHCS) works on behalf of healthcare organizations in collaboration with insurance networks to complete payor enrollment and credentialing for the healthcare providers in your organizations. MMHCS specializes in provider and facility credentialing and recredentialing for FQHC and private organizations throughout California. We understand that provider credentialing and recredentialing can be long tedious process, therefore our team of credentialing experts continue the follow up process with payors until the provider becomes fully enrolled.
MMHCS Credentialing Dept. has expert level understanding of:
- CAQH management
- CMS Medicare (PECOS) enrollment
- Medical (PAVE) enrollment
- Managed Care plan enrollment
- Commercial plans enrollment
- Behavioral Health plan enrollment
- Vision and Dental plan enrollment
…and so much more!
MMHCS credentialing experts have comprehensive knowledge of revenue cycle management, billing and coding, healthcare plans, HRSA mandated FQHC policies and guidelines and so much more!
We understand that provider credentialing plays a pivotal role in revenue, compliance and federal grant opportunities.
Reach out to us today for questions, inquiries and personalized quotes!