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