State CMS programs
The Centers for Medicare & Medicaid Services (CMS) manages several major healthcare programs that provide coverage to millions of Americans. These programs are often operated in partnership with state governments.
CMS state-level healthcare programs focus on improving care quality, reducing costs, and expanding access
PROTeam management has direct experience operating:
External Quality of Care Review Organizations (EQROs)
Independent entities contracted by state Medicaid agencies, analyze and evaluate the quality, timeliness, and access to healthcare services provided by Managed Care Organizations (MCOs).
Independent Informal Dispute Resolution (IIDR)
Independent Informal Dispute Resolution (IIDR) is a process for nursing homes to contest Medicare/Medicaid citations when a Civil Money Penalty (CMP) is imposed.
