Healthcare Regulatory Compliance Consulting

Keeping on top of compliance as well as new regulations is an all-consuming task. Far-reaching regulations such as the Medicare Promoting Interoperability Program, Pricing Transparency, and CalAIM have exacerbated the challenge of enterprise preparedness and compliance.

The regulation specialists at Freed can help you review requirements, assess your internal policies, evaluate your capabilities, identify required actions, and implement changes. We can also work with you to improve your existing audit and compliance programs.

• New regulation intake, interpretation, and impact analysis
• Compliance readiness assessments and gap analysis
• Design and implementation of process, staffing, and system changes to support new regulations
• Advisory support for regulatory and compliance governance and practices

Delivering high-quality care that sets you above competing healthcare organizations requires continuous evaluation and vigilance. Freed knows how to achieve impressive results when it comes to tackling healthcare quality improvement initiatives. Not only can our experts help you attain accreditations, we can also improve your ratings across core measurement sets, including HEDIS, CAHPS and Medicare Star Ratings.

• Development of enterprise-wide quality infrastructure, including analysis of quality measures and recommendations, identification of reporting requirements, and implementation of quality management tools for providers
• Assessment of health plan quality programs, including review of Star Ratings, program strategy, accountability, data and operations
• Development of recommendations related to quality program strategy, structure, processes and people
• Creation of quality metrics for specific care improvement initiatives, including identifying key metrics for evaluation and creation of scorecards

Health plan audits are inevitable, time-consuming, difficult to get ready for and a challenge to pass. Freed has an industry-recognized history of helping health plan clients prepare for, manage and complete audits successfully.

• Pre- and post-audit support
• Design and management of mock audits
• Management of audit tasks and requirements
• Support for corrective action plan responses and resolution