QUALITY ASSURANCE & COMPLIANCEA Partner You Can Trust
Why risk going it alone when it comes to compliance? Reliant brings a team of investigators who are certified in healthcare compliance. We support therapy-related medical review claims and have RAC-certified auditors and reviewers who assist with managing the claim from ADR through ALJ.
Customer Partnering Services
Clinical education is at the core of quality care, measurable outcomes and clinical compliance. Our clinical services group, partnered with CEU360, provide professional education to meet regulatory requirements as well as clinical pathways and tools to guide and enhance quality post-acute care.
We conduct audits at multiple levels and include monthly manual and EMR auto-trigger reviews. Our audit, clinical education and operations teams review and audit our sites of service to achieve well-defined standards of care and reduce risk for our partners.
Medical Review and Clinical Appeals
We have successfully appealed over 95% of all medical reviews. Our success in supporting medical review brings significant value to our partners. It also helps partners’ revenue cycle by providing information to submit proper claims and appeal reimbursement denials.