The best-in-class health plans address all three critical organizational aspects (Technology, People, and Process) to achieve healthcare delivery and compliance success. MedHOK's Unified Payer Platform is the preeminent technology platform in the industry, and our clients receive world-class support from our professional and experienced staff.
MedHOK’s Unified Payer Platform includes Production Management, Baseline Compliance Support, Managed Security, and High Availability Managed Environments. From weekly project meetings to 24/7/365 Help Desk support, you are always within reach of a MedHOK expert.
MedHOK's Total Care solution provides the People and Process aspects by aligning a multi-disciplined team of subject matter experts to dedicated client support. Implementing a targeted regimen of compliance and operational efficiency improvement programs to measure, test, and improve organizational performance, Total Care drives best practices that improve audit readiness, productivity, and profitability. Through continuous training, Total Care clients close process improvement loops, improve user knowledge, and build in-house platform configuration expertise.
Combined with online portal functionality that enables self-service ticket creation and tracking, Total Care equips health plans to build a persistent culture of compliance, Unified Payer Platform expertise, and audit readiness. Being confident of your compliance adherence is being confident in your business plan.
Total Care will fill your gaps in Compliance, Operational Efficiency, Training, and Support to enable you to achieve and maintain the same operational excellence of the highest star-rated plans. Click the titles below to learn more about the components of MedHOK's Total Care Support.
Compliance is a combination of Technology, People, and Process. With Total Care, you receive a dedicated team of proactive MedHOK compliance experts who are dedicated to your account. This team will proactively monitor and mitigate compliance risks on a DAILY, WEEKLY, MONTHLY, and QUARTERLY basis. MedHOK will help ensure your team is ready and trained, your processes are supportive of best compliance practices and you are ready for an audit when needed.
In the case of an audit, MedHOK will actively assist and support your team during an audit. We’ve passed hundreds of audits and will bring that expertise and best practice process knowledge to you, as well as share with you the trends we are experiencing in those audits.
Many of our clients choose MedHOK based on our compliant technology. With Total Care you can also leverage our compliance services and best practices to ensure your team is using the MedHOK platform to its fullest.
Take advantage of all of the functionality and power of the MedHOK platform. Total Care Support is founded on driving peak performance of your staff, as well as the MedHOK platform.
MedHOK Total Care delivers a defined operational best practices regimen through daily, weekly, monthly, quarterly, and annual operational monitoring and reviews. Our support includes:
MedHOK can help you establish best practices through a continuous regimen of improvement.
To obtain the most effective performance on the MedHOK platform, continuous staff training is recommended, especially given the frequency of changing roles, new employees, and improvements necessary to achieve best practices.
A trained staff equals higher performance and employee satisfaction. Total Care provides continuous training and certification opportunities. With Total Care you will have access to scheduled training to advance to your staff’s skills and expertise, including platform functionality, compliance, and configuration. Plus, semi-annual training tailored to your specific process improvement opportunities is also included.
Certified Training includes:
Configuration Training includes:
Tailored Training includes:
Semi-annual best practice optimization training based on the compliance and operational findings and pattern analysis that was conducted weekly and monthly.
Filling your gaps requires additional support resources and tools. MedHOK Total Care Support Concierge service enables critical resources and tools to augment your current staff and improve their access to information.
With Total Care Concierge Support, you receive:
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The industry’s only Unified Payer Platform, MedHOK’s member-centric SaaS platform provides everything you need to securely manage member medical and pharmaceutical care, achieve federal and state compliance, deliver superior quality care, and succeed in value-based healthcare. Covering the entire spectrum of care across Medicare, Medicaid, and Commercial lines of business, MedHOK’s one platform gives you total control.
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