RegQuest and Clear Health Quality Institute will be presenting at the 2017 American Telemedicine Association in Orlando, Florida. Come stop by and learn more about our current offerings.
As consumers take on a more active role in their health care decisions, the importance of external review (ER) has grown. However, compliance with state and federal ER laws can be a nuanced endeavor. In this informative session, industry leaders will examine ER regulatory requirements and focus on the important part these regulations play in […]
With the adoption of the Paul Wellstone and Pete Domenici Mental Health Parity and Addition Equity Act of 2008 (MHPEA), much attention has been focused on the integration of mental health and substance use disorders into mainstream medicine. This session will focus on legislation passed since 2008 designed to increase compliance with the federal law […]
The session will examine the evolution of utilization management (UM) programs and related medical management functions over the past three decades with a detailed overview of how UM programs are regulated and operationalized today. The speakers will highlight the impact of recent regulatory reforms on the ways that health plans make “medical necessity” and “scope […]