RegQuest™, the nation’s leading regulatory compliance resource that provides health plans, regulators and others with invaluable information regarding current medical management regulations and laws, is pleased to debut an upgraded website featuring improved user functionality, including an interactive map and communication forum for subscribers.
RegQuest™, a new resource that provides health plans, regulators and others with invaluable information regarding current medical management regulations and laws, will announce the debut of the External Review module at the inaugural NAIRO Educational Symposium on September 17, 2015 in San Marcos, Texas.
RegQuest™, a new resource that provides health plans, regulators and others with invaluable information regarding current medical management regulations and laws, will announce the debut of the External Review module at the inaugural NAIRO Educational Symposium on September 17, 2015 in San Marcos, Texas.
Schooner Strategies, a national consulting firm specializing in regulatory affairs, communications, research and accreditation, in partnership with EBG Advisors, announces RegQuest™, a new resource that will provide health plans, regulators and others with invaluable information regarding current medical management regulations and laws.
Schooner Strategies, a national consulting firm specializing in regulatory affairs, communications, research and accreditation, in partnership with EBG Advisors, announces RegQuest™, a new resource that will provide health plans, regulators and others with invaluable information regarding current medical management regulations and laws.
Epstein Becker Green and EBG Advisors are pleased to announce a webinar titled Analyzing Trends in Utilization Management: A Focus on Regulations. The session will examine the evolution of utilization management (UM) programs over the past three decades, with a detailed overview of how this managed care function is regulated. Among other issues, the webinar will highlight the impact of the Affordable Care Act and other regulatory reforms on the ways that health plans make “medical necessity” determinations and how the appeals process works when a “denial” of care occurs. In addition, the presentation will review the scope, licensure requirements, reviewer qualifications and the ways in which UM services are often integrated into a “care coordination” approach to managing patients.