Unlock Healthcare Compliance Excellence with andros
Navigating healthcare compliance is tough. Most organizations face the risk of non-compliance, in-house expertise gaps, and inadequate policies due to inefficient credentialing workflows. These challenges not only jeopardize compliance but can also delay essential services that patients rely on. Enter andros Compliance Services!
andros is excited to launch two key healthcare compliance services designed to streamline your workflows and reduce compliance risk. Our tailor-made services cut through the complexity, ensuring you operate more efficiently.
The andros Advantage
We take the manual burden off your team. By leveraging our deep provider data in the a* platform, we can credential thousands of healthcare provider applications far faster than in-house teams or other CVOs. This helps you streamline processes, reduce overhead, and increase data accuracy. We make it simple for our clients with our optimized process. Additionally, our success is bolstered by our expertise in compliance; our technology platform and credentialing services are designed to integrate seamlessly with effective, efficient, and scalable compliance programs.
Healthcare Compliance Services for Provider Organizations:
Delegated Entity Support
Preparing provider organizations to become delegated with health plans and other payers. Provide support in the completion of audit tools including review of policies and procedures, assisting with responses to credentialing questions from payers, and providing industry experience and insight during the delegation contracting process.
Compliance Foundations
Assistance with creation or review of policies and procedures to ensure compliance with industry standards. Support with establishing NPDB access, including creation and review of peer review policy. Additional customized solutions to including, but not limited to, staff education and training.
Healthcare Compliance Services for Payers:
Delegated Audits
Perform pre- and annual delegation audits on behalf of clients. Includes reviewing policies and procedures, credentialing files, committee minutes and ongoing monitoring logs, and preparing an audit summary.
Ongoing Compliance Support
Overall consultative support on credentialing best practices, industry trends, accreditation, and regulatory body compliance including audit support. 1:1 consultations and the flexibility to have questions answered promptly through email correspondence.
Special Projects
Expert, tailored compliance assistance with process improvement. Designing and executing custom initiatives including, but not limited to, staff education and training and achieving overall compliance and credentialing industry best practices.
Meet Our Compliance Expert:
Mark Hirschhorn
Meet Mark Hirschhorn, the Director of Compliance at andros. Mark has been an integral member of the andros team since 2019, working closely with all departments to ensure compliance with NCQA standards and measures.
Meet Our Compliance Expert:
Jamie Kates
Meet Jamie Kates, the Senior Compliance Manager at andros. Jamie is responsible for on-going compliance throughout the organization. She leads the delegated audit programs for andros’ clients as well as internal audits.