Technical Assistance

The Technical Assistance and Consulting Services Division of Managed Healthcare Unlimited (MHU-TACS) assists health plans in achieving their regulatory compliance and customer service goals, building upon MHU’s valued role as an impartial third-party reviewer for leading regulatory agencies. Customized consulting engagements are crafted to address health plans’ regulatory needs assessment and evaluation, medical survey and audit preparation, corrective action planning, and staff training:

  • Regulatory Needs Assessment and Evaluation is a core tool to ensure an organization’s ongoing compliance in the areas of quality management, utilization management, grievances and appeals, access and availability, language assistance programs, and timely access regulations. Included is assessment and evaluation of health plan vendors and providers delegated to perform specific tasks within these areas.
  • Medical Survey and Audit Preparation guides health plans through routine and non-routine regulatory surveys and audits
  • Corrective Action Planning assists health plans in their efforts to address deficiencies identified during regulatory surveys and audits
  • Staff Training prepares managers, staff, and clinicians to deliver quality care while complying with clinical standards and state regulations as an ongoing part of health plan operations. Focused education and training prepares staff to navigate specific surveys and audits.

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A responsive healthcare compliance program is contingent upon the accurate application of laws and regulations through sound operational policies and procedures.

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