• Location: Brooklyn, New York
  • Mon - Fri: 8:00 am - 7:00 pm
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Problems We Solve
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Engagement Offers
Ethics, Education & Leadership

Contractor & Delegate Readiness: Plan-Ready UM and Quality Operations Fast

We help MSOs, IPAs, and delegated entities build scalable UM workflows, policies, KPIs, and audit artifacts that satisfy payer expectations and reduce operational risk.

Problems We Solve
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Engagement Offers
Ethics, Education & Leadership
Problems We Solve
img in about 1
Engagement Offers
Ethics, Education & Leadership

Contractor & Delegate Readiness: Plan-Ready UM and Quality Operations Fast

We help MSOs, IPAs, and delegated entities build scalable UM workflows, policies, KPIs, and audit artifacts that satisfy payer expectations and reduce operational risk.

Problems We Solve

  • “We need to be delegation-ready yesterday”
  • Inconsistent UM decisions, unclear escalation, weak documentation evidence
  • No reliable timeliness tracking and reporting
  • Vendor/payer audits causing frantic last-minute scrambling
  • Training gaps across nurses, physician reviewers, and operations teams
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What We Deliver

Delegated UM Operating Model (RACI + Workflows)

Delegated UM Operating Model (RACI + Workflows)

Clear roles, Queue handling, Escalation, and Physician review structures.
Policy + Procedure Pack

Policy + Procedure Pack

Timeliness, notices, documentation standards, appeals handoffs, QA sampling approach.
Audit Binder + Evidence Map

Audit Binder + Evidence Map

Operational logs, monitoring cadence,sample tracking, corrective action templates.
KPI Dashboard Blueprint

KPI Dashboard Blueprint

Definitions, cadence, and accountability—so reports are consistent and defensible.
Training & Onboarding Kit

Training & Onboarding Kit

Role-based training with quick reference guides and
competency checks
Engagement Offers

Engagement Offers

UM Workflow Stabilization (45–60 days)

Fix root causes and build monitoring so performance stays steady.

Delegation Readiness Sprint (30 days)

Policies
Workflows
Training
Audit artifacts
KPI framework
Contact Us

Stop guessing what the payer wants. Build it once—correctly.

Request a sprint plan and deliverables checklist.