Government Health Programs
Population Health Management, Cultural Competency and Point of Service Care Coordination.
Medicaid and Medicare
High growth projections make Medicare, Medicaid and Dual-Eligibles very attractive markets: The Meja Group, LLC ‘s end‑to‑end product and specialized service for Medicare and Medicaid lowers operating costs, improves delivery and quality of care, increases top‑line revenue growth and ensures regulation compliance for enhanced business results with reduced costs and improved member care. Our team can provide a comprehensive review of claims and documentation to help ensure compliance with the Centers for Medicare and Medicaid Services (CMS) Medicaid Integrity Program.
Quality Improvement
Consists of systematic and continuous actions that lead to measurable improvement in health care services and the health status of targeted patient groups. The Institute of Medicine (IOM), which is a recognized leader and advisor on improving the Nation’s health care, defines quality in health care as a direct correlation between the level of improved health services and the desired health outcomes of individuals and populations.
Compliance
Healthcare compliance is the ongoing process of meeting, or exceeding all the legal, ethical, and professional standards applicable to an organization or provider. As the regulations applicable to the healthcare organization change so must its compliance program. Practical strategies to ensure appropriate reimbursement and prevent violations of the False Claims Act, the Stark Law, HIPAA, the Anti-kickback Statute, and more.
Readiness Assessments
The purpose of a readiness assessment is to analyze the preparedness of the conditions, attitudes and resources, at all levels in the organization, needed for change to happen successfully. For a wellness program to be successful having a clear understanding of the current environment is vital. client receptiveness will be dampened if early assessments reveal employees are not open or ready to engage and embrace wellness offerings. We help organizations achieve complete resource utilization by optimizing the readiness or its employees.
Strategies to Address Social Determinants of Health
Social determinants of health are conditions in the environments in which people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks. Our goal here is to create social and physical environments that promote good health for all.
