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Contract Monitoring
MHMRTC's Contract Monitoring Staff monitors internal and contracted providers'
adherence to applicable rules, regulations, standards, and laws utilizing standardized
protocols and review instruments. Random and scheduled on-site audits are conducted
to assess the quality and appropriateness of ongoing service provision. Monitoring
and reporting activities emphasize the review of service and clinical outliers,
as well as compliance with contractual reporting and billing requirements.
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Contract Development
Credentialing
Utilization Management
Claims Processing
Provider Relations
Contract Monitoring
Quality Management
Frequently Asked Questions
Resources
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