Why is health quality measured and reported?
It gives consumers and employers the basis to make informed decisions and pursue the best available care. It also gives feedback to health plans, medical groups, and doctors to improve quality issues.
How is it measured?
Surveys (on and off-site), audits, satisfaction surveys, clinical performance measurements, and more. We use these approaches in a range of accreditation, certification, recognition and performance measurement plans for different types of organizations, medical groups and even individual physicians.
How does OHP ensure compliance?
At OHP we gather quality information and make it available to consumers, employers, health plans and doctors through these strategies:
How do we ensure reimbursement?
OHP MSO ensures consistent physician and facility reimbursement by automatically evaluating provider claims in accordance with accepted industry coding standards thanks to a comprehensive nationally recognized code auditing system to secure consistent physician and facility reimbursement. We constantly enhance and update our code-editing technology to better enforce existing payment guidelines.
Claims will be reviewed to:
Correct coding guidelines are established by:
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