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Prescription Drug Event Management
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Case Management
Model of Care (MOC) Review and Scoring
Part C End-to-End Part D Claims Processing Audit
Plan Performance in Quality (Stars/HEDIS/Gaps in Care)
STAR Rating Projection and Gap Analysis
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Compliance Program Implementation
Comprehensive Oversight and Monitoring Programs
Corrective Action Plans
Fraud, Waste and Abuse (FWA) Support
Vendor (FDR) and Internal Oversight and Monitoring Programs
Medicare Operations Expertise
Agent and Broker Oversight
Call Center Assessment & End-to-End Monitoring
Credentialing Audits and Policy Reviews
Enrollment
Health Care Policy Analysis and Application
Interim Staffing and Permanent Staffing Assistance
Medicare Applications and Implementations
Medicare Bid Development and PBP Review
Medicare Marketing Material Review
Medicare Sales & Marketing Services
OIG and GSA Background Checks
Product Strategy
Provider Directory Review
Risk Adjustment Operational Assessment & Comparative Analysis
Secret Shopping and Tele-Sales Recorded Call Review for AEP & OEP
Staff Training Programs
Third Party Marketing Oversight
Other Program Expertise
BluePeak Advantage Program
Employer Group Waiver Plans
Medicaid (all or state(s) specific)
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Close Menu
Home
About Us
Meet The Team
Services
Training
BluePeak University
Course Catalog
Curriculum Packages
Popular Services
Audit Preparation and Onsite CMS and State Audit Support
Independent Validation Audits (IVA)
Mock Audits
Operational Gap Analysis
Part C & D Claim Testing and Monitoring Software
Policy and Procedure Development and Refinement
Sanction Remediation
Universal Monitoring Software (UMS)
Year-End Benefits Testing
Medicare Part D and Pharma
Formulary Management Strategies
Medication Therapy Management (MTM)
Capabilities to Support PBMs
PBM Implementations/Transitions
PBM RFP Development, Review, and Contracting
Part D End-to-End Part D Claims Processing Audit
Pharmaceutical Analytics and Services
Prescription Drug Event Management
Medicare Part C and Medical Claims
Case Management
Model of Care (MOC) Review and Scoring
Part C End-to-End Part D Claims Processing Audit
Plan Performance in Quality (Stars/HEDIS/Gaps in Care)
STAR Rating Projection and Gap Analysis
Utilization Management
Medicare Compliance Expertise
Compliance Program Implementation
Comprehensive Oversight and Monitoring Programs
Corrective Action Plans
Fraud, Waste and Abuse (FWA) Support
Vendor (FDR) and Internal Oversight and Monitoring Programs
Medicare Operations Expertise
Agent and Broker Oversight
Call Center Assessment & End-to-End Monitoring
Credentialing Audits and Policy Reviews
Enrollment
Health Care Policy Analysis and Application
Interim Staffing and Permanent Staffing Assistance
Medicare Applications and Implementations
Medicare Bid Development and PBP Review
Medicare Marketing Material Review
Medicare Sales & Marketing Services
OIG and GSA Background Checks
Product Strategy
Provider Directory Review
Risk Adjustment Operational Assessment & Comparative Analysis
Secret Shopping and Tele-Sales Recorded Call Review for AEP & OEP
Staff Training Programs
Third Party Marketing Oversight
Other Program Expertise
BluePeak Advantage Program
Employer Group Waiver Plans
Medicaid (all or state(s) specific)
Nursing Facility Clinical Consulting
PACE
Proactive Clinical Monitoring
Quality Assurance Claims Testing
Qualified Health Plans
Careers
BluePeak Bulletin
Contact Us
linkedin
email
