Provider Network Adequacy Monitoring
Achieving Network Adequacy for Your Healthy Provider Ecosystem
Automated, full-time network monitoring combined with data-learning ensures that your provider network remains complete and compliant once it’s active. We’re here to help you thrive.
Our Process
Think of Andros as an extension of your team, connecting the lines of communication among disparate departments so we’re all working towards the same goal: a provider network functioning at peak performance. Compliance monitoring is accomplished in four simple, but significant steps.
Testing for Adequacy & Compliance
First things first, our team takes a look at your full provider network to identify any potential issues that may threaten your networks’ state or federal adequacy compliance. Avoiding these issues means avoiding fines and penalties that can threaten your plan’s long-term success.
Filling the Gaps
Once we’ve identified the gaps, we identify and prioritize the providers who will be the most suitable replacements. But this isn’t just about ensuring compliance — our platform identifies the most desirable providers to help make your network as efficient as it can be to best serve members.
Recruiting and Contracting
Our team of specialized professionals manage the recruiting and contracting phase on your behalf, putting our data to work to determine the right rates and taking a transparent, tech-first approach to facilitate communication among all stakeholders.
Administrative Support
With top-tier providers primed for the network, the final phase of network maintenance is nearly complete. If required, our team can prepare new HSD tables to Medicare specifications, ensuring that they are complete, compliant, and on time. andros makes this complicated process faster and error free.
Compliance Services for Health Plans
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.
Let’s Grow Together
Ready to take the next step? Our team is here to walk you through the ins and outs of what makes andros the new wave in healthcare services. Schedule some time with an Andros expert today and find out what we can do for you.
Built 200+ networks in all 50 states
Perform 300k credentials annually
Over 30 years combined experience
What happens next?
A member of our team will review your request and get in touch with you shortly!
