Keep You Compliant

One Source Therapy Review ensures its reviewers are up to date on all state and federal regulatory requirements, adhere to Plan policies and procedures and are current on licensure.

  • Advises the Plan on how to adhere to State and Federal regulation and policy changes and subsequently assist with updates to internal policies.
  • GA Medicaid regulations
  • Complies with state, NCQA, and federal Medicaid regulations regarding reviews and denials – All review decisions are easily accessible as they are housed on the Plan’s medical management documentation system
  • Adheres to all Plan compliance policies such as HIPAA
  • Ensures all reviewing therapists are licensed (licenses rechecked annually)
  • Guarantees all therapists reviewers sign annual financial incentive attestations