Managed Care Accreditation and Licensing

The Compliance Doctor, LLC has been providing accreditation consultation services to managed care organizations since 2003. The accreditation organization’s active professional industry panels develop the managed care standards, providing real life professionals input on the ability to attain the standard and the level of expectation the standard must be held in the industry. All prepared in REAL TIME and REAL Life. These standards include the evaluation of such critical functional areas as enrollee communications systems; enrollee complaint and grievance resolution systems; utilization management, including enrollee appeal procedures; quality management and improvement; and provider credentialing and re-credentialing systems.

Accreditation and Licensing Consultants for Medical Home Care, Nursing Homes, Assisted Living Health Care and More

The Compliance Doctor, LLC highly recommends you going with an accrediting body that has been awarded the ability to survey your Managed Care Business under the Federal Medicare Advantage Deemed Status from the Centers for Medicare and Medicaid Services.

In order to help managed care organizations prepare for an accreditation survey, THE COMPLIANCE DOCTOR, LLC has developed everything you need as a guide and tool to obtain and maintain your accredited status. Our policy/procedures provides information on the Accreditation standards and how they are applied to manage care organizations.