CAM
will smooth and shorten the pathway to a favorable outcome of care.
Benefit and fee schedule development.
Utilization and outcome review studies.
Monitoring of diagnosis / treatment compatibility.
Educational programs for Primary and Specialist providers, illustrating
the value of CAM care.
Development
of promotional materials to make client membership aware of the advantages
of CAM care.
Implement steerage strategies to CAM care when appropriate.
Network
review and network development.
Preventive
guidelines.
Anti-Fraud
Division.
HIPAA
Compliance Specialist on staff.
Case
Management.
Standard
care treatment diagnosis protocols.
Claims Negotiation.
Monthly
report data to clients.
24 hour helpline
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