Utilization Review

While meeting the myriad regulatory requirements is a full-time job and occupation, agencies must also strive to ensure that its provision of services is making a significant difference in the lives of its clients.  Additionally, there is rightfully an increasing focus on outcome measurement and quality of services.  TANYES Compliance has many years of experience in providing Utilization Reviews to assess not only an agency’s compliance with the basic regulations but also the quality and clinical value of the services.  

Licensed clinical staff  dissect the clinical records to ascertain if the diagnosis, interventions, treatment planning, and integration of services are consistent with each client's particular functioning level.   There is additionally a heightened focus on whether staff are actively working to minimize emergency room visits and hospitalizations, consistent with Outcome measurement goals.