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RPM/PCM Care Management Remediation
RPM/PCM Care Management Remediation
A high-volume care management program was operating outside CMS compliance, driving heavy claim denials and lost revenue. We brought it into full compliance while preserving sustainable revenue.
Quality Improvement Program Restructuring
Quality Improvement Program Restructuring
A large multi-payer primary care practice was missing quality thresholds and leaving incentive payments on the table. We restructured their QI workflows and hit every Medicare ACO metric within 6 weeks.
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