Acumentra Health services for specific client types

Healthcare providers and practitioners, purchasers, community-based organizations, professional associations, policy makers, and consumers look to Acumentra Health for expertise in a variety of services.

For state agencies

  • External quality review for Medicaid managed care
  • Medicaid utilization review (UR) for Fee-for-Service 
  •  Quality assurance (QA)
  • Rural health/Critical Access Hospital quality assessment and program development
  • Mental health/residential treatment utilization management (UM) and quality assurance
  • Case review
  • Healthcare policy and program evaluation
  • Consumer surveys and focus groups
  • Encounter data validation

For other government agencies

  • Case review
  • Consumer surveys and focus groups
  • Healthcare policy and program evaluation
  • Audits of delegated UM and quality improvement (QI) functions
  • Chronic illness management strategies
  • Quality assessment and performance improvement

For community and public health organizations and coalitions

  • Community-based improvement collaboratives
  • Consumer surveys and focus groups
  • Healthcare policy and program evaluation

For health plans

  • HEDIS® data abstraction
  • Quality assessment and performance improvement
  • Audits of delegated UM and QI functions
  • Chronic illness management strategies
  • Disease management program evaluation

For hospitals

  • Quality assessment and performance improvement
  • Patient safety audits
  • Critical Access Hospital assessment, technical assistance, and peer review

For medical practices

  • Office-based system improvement tools
  • Expertise in Medicare inpatient coding and billing requirements
  • Evidence-based preventive care and chronic illness care tools
  • EHR practice assessment and implementation assistance

For purchasers

  • Claims analysis/UM
  • Quality report cards
  • Community-based improvement collaboratives
  • Quality and patient safety data clearinghouse
  • Consumer surveys and focus groups
  • Case review
  • Healthcare policy and program evaluation
  • Audits of delegated UM and QI functions
  • Chronic illness management strategies
  • Quality assessment and performance improvement
  • Patient safety audits

More information

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Last updated February 17, 2009