Contact Us

Compliance

Expertise to simplify the complex regulatory environment

Regulatory Compliance

Understanding and providing solutions for complex federal and state health information regulations and standards is critical to your business.  Mitchell can help simplify complexities in the regulatory environment for both the Auto Casualty and Workers’ Compensation arena.

Compliance impact areas include:

EDI Reporting
  • eBilling and ePayment
  • Medical, FROI/SROI, 
  • CMS State Reporting, 
  • WCRI, & NCCI DC
  • Regulatory Reporting Requirements
State Fee Schedules
  • Rules, Schedules, Guidelines 
  • Utilization Tx Guidelines
Networks
  • PPOs, MPNs, HCNs, MCOs
  • Ancillary programs
Managed Care
  • Medical & Drug UR
  • Case Management 
Litigation Support Strategies
Educational Services
  • Regulatory & Compliance Changes
  • Application Training
  • Subject Matter Expertise

Turn to Mitchell for P&C subject matter expertise:

  • National Compliance Footprint
  • Deep Industry Expertise
  • Dedicated Compliance Team
  • Trusted Advisors for customer satisfaction
  • Active Member and Leaders of Industry Standards Organizations
  • The source for current Legislative and Administrative News
  • Strategic Partner in Compliance

You’ll benefit from Mitchell’s consistent approach to compliance. The four step process includes:

Research
  • Monitor state/federal web sites
  • Interpretation and consultation of proposed updates
  • Adaptation to technology
Analysis & Programming
  • Requirements review
  • Fee and Rule Creation
  • Trend analysis and mitigation 
  • Release notes
  • State Specific Review guidelines
Quality Assurance
  • Unit & regression Testing
  • Peer reviews
  • Clarifications with state entities
  • Client input & engagement
Deployment
  • Builds deployed to client
  • Publication of release with comprehensive notes

Mitchell's compliance team consists of experienced Health Information Management experts credentialed under the highest level industry certifications and includes a certified Nosologist, Certified Medical Compliance Officer (American Institute of Healthcare Compliance), Registered Nurses, Certified Legal Nurse Consultants and paralegals. Medical coding certifications held by this team include Certified Professional Coder (CPC), Certified Coding Associate and Certified Coding Specialist (CCS) through AHIMA certifications.

Professional Services

Professional Services

Medical professionals available to provide guidance.

Press

Mitchell's 2016 Property & Casualty Conference Attracts Industry Leaders From Auto Casualty, Auto Physical Damage and Workers' Compensation Claims Markets

The gathering of experts in auto physical damage, auto casualty and workers’ compensation insurance claims served as a platf...

Read More

Articles

WEDI Honors Health IT Industry Leaders through Annual Awards

WEDI, the nation’s leading authority on the use of health IT to create efficiencies in healthcare information exchange, anno...

Read More

Videos

ICD-10 4 Cornerstones for your future

Mitchell Auto Casualty Solutions gives insight into the evolving issue of ICD-10 and suggestions for communicating with partners a...

Read More

Terms of Use | Privacy Practices | Copyright & Usage | [+} Report a Problem
© 2016 Mitchell International, Inc. All Rights Reserved.
By accessing Mitchell.com, each user agrees that they have read and agreed to be bound by the
Terms and Conditions governing Mitchell.com and Privacy Policies governing Mitchell.com.