Services
We offer professional consulting in Compliance, Accreditation and Quality within the healthcare industry. With over 25 years of experience, we will provide your organization with strategic insight and comprehensive guidance to achieve your goals.
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• Specialty Benefits Management Companies
• Utilization Review Companies
• Case Management Companies
• Health Plans
• Pharmacies
• Specialty Pharmacies
• Independent Review Organizations
• Startup Healthcare Companies
• Homecare Companies
• Behavioral Healthcare Management Companies
• Workers Compensation Benefits Companies
• Healthcare IT Companies
• Private Equity Firms
• Population Health Companies
Quality Programs
Effective continuous quality and performance improvement programs are integral to ensuring quality care and safety for members/patients. Organizations require a strong infrastructure to support quality and safety initiatives. Quest has a proven record in the development of quality and quality improvement programs across several sectors in the health care industry.
Contact us to discuss your quality program needs.
Areas of focus:
Quality Improvement Projects
Quality Management & Quality Improvement Programs Development
Compliance Programs
Strong compliance programs are critical across the board in the health care industry. An effective compliance program not only decreases risk but can also support improved business processes that in turn demonstrates the organization’s commitment to ethical corporate conduct, HIPAA compliance, and improved quality of care. Quest has experience in start-up organization compliance infrastructures & training, and in enhancing established compliance programs.
Contact us to discuss your compliance program needs.
Areas of focus:
Regulatory Compliance
Compliance Program GAP Analysis
Compliance Program Infrastructure Development
Interim Compliance Officer Duties
Government/Legislative Affairs
Provider Office Compliance Programs
State UR/ PRA License Applications & Regulatory Filings
Regulatory Agency Audit Preparation
Federal & State Government Program Compliance
Federal & State Regulatory Filings
Pre-delegation, Annual Delegation & Due Diligence Audits
HIPAA Privacy & Security Audits
Start-up Compliance & Quality Infrastructure Development
Policy and Procedure Development Assistance
CMS QIO-like Organization Applications & Maintenance
Compliance & Quality Program Data Analytics
Accreditation/ Certification Programs
National Quality Accrediting bodies require health care organizations to apply via a stringent application process. This can be a daunting task for the entire organization seeking accreditation. Quest has a 100% success rate in assisting clients across several sectors in the health care industry whose goal was to receive full accreditation.
Contact us to discuss your accreditation program needs.
Areas of focus:
NCQA Accreditation/Certification Programs Applications & Maintenance
URAC Accreditation/Certification Programs Applications & Maintenance
ACHC Accreditation Program Applications and Maintenance
