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Million Hearts Campaign No Place Like Home

Partnership for Patients

FMQAI Services

FMQAI is a nationally recognized federal, state and private healthcare contractor dedicated to improving the quality and safety of health care provided to patients. For over 23 years we have delivered evidence based, innovative and effective healthcare solutions for healthcare providers across the continuum of care.

RAC (Recovery Audit Contract) Preparedness

FMQAI partners with each individual client to customize a preparedness plan designed to create effective compliance guidelines while substantiating eligibility of payments. FMQAI's experience with DRG coding guidelines, medical necessity assessments, unnecessary admissions and 30-day readmissions enables us to look closely to find the root cause of medical claim errors.

Through this analysis FMQAI is better able to identify areas in process management, use of technology, or operational deficiencies which may lend themselves to the increased risk of errors. The outcome of the analysis is continually presented to the client with proposed solutions to improve operational efficiency and reduce the occurrence of future medical errors.

Case Management Assignment Protocol

Is Your Hospital Really Ready for RAC?

Since 2003, FMQAI has helped hospitals reduce unnecessary Medicare admissions with the Case Management Assignment Protocol (CMAP). Hospitals with a strong commitment to using CMAP have been shown to reduce inappropriate inpatient admissions by 91%.

For more information about CMAP implementation services please email CMAP@fmqai.com, or call 866-977-CMAP.

Medical Record Review and Abstraction Services

FMQAI offers extensive experience in providing medical record review services that seek to ensure the care delivered to patients is appropriate, necessary and meets professionally recognized standards. FMQAI has performed in excess of 100,000 independent medical record reviews for a variety of settings, including acute inpatient and outpatient facilities, ambulatory surgery centers, skilled nursing facilities, home health agencies, physician offices, and managed care organizations. Our broad based experience covers both fee-for-service and managed care reviews. Whether you are seeking training for your own staff on case review or wish to employ our services to complete the review or abstraction, we can assist you.

Health Services Research

The ability to collect data and analyze information has become an absolute necessity to achieve and maintain quality in the healthcare field. Analytical tools used in healthcare, such as statistical analysis and mathematical forecasting, and the expertise which accompanies them are easily transferable to other lines of business. FMQAI is prepared to share our expertise with you and to provide you with the analytical tools you will need to succeed.

Performance Measurement and Quality Improvement

FMQAI is Florida's leader in healthcare quality improvement, having implemented more than 80 projects with hospitals, home health agencies, nursing homes, managed care organizations, chronic dialysis facilities, kidney transplant centers and physicians. We offer consultation services on quality indicator development, performance measurement, rapid cycle improvement, planning, implementation, and evaluation of collaborative intervention models, cultural competence and other strategies to improve healthcare.

Alternative Dispute Resolution

Patients, Providers, and Consumers want satisfaction when they voice their complaint about service. Alternative dispute resolution offers healthcare providers and other companies various ways to resolve complaints to everyone involved satisfaction. Samplings of methods include conciliation conference, facilitation, mediation and Ombudsperson services.
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FMQAI 5201 W. Kennedy Boulevard Suite 900 • Tampa, Florida 33609-1822