SOURCE: Top Tier Consulting & MediRegs

June 06, 2007 14:35 ET

NCQA Compliance and Audit Preparation Simplified and Streamlined

Top Tier Consulting and MediRegs Announce New Solution Offering NCQA Regulatory Compliance Solution for Managed Care Organizations

LOS ANGELES, CA--(Marketwire - June 6, 2007) - Regulatory compliance can be a costly administrative burden that diverts resources and attention from a health plan's core business of serving members. Within most organizations, the compliance process is often disjointed, difficult to manage and hard to sustain through constantly changing regulations from a variety of government and oversight bodies. MediRegs, a leader in regulatory compliance management, and Top Tier Consulting have partnered to develop and offer a solution that will allow a health plan to accomplish accreditation with a significant value proposition. The solution, ComplyPath(SM), offers a modular and menu-driven regulatory compliance solution that is tailored for specific health plan needs and provides an organized, efficient and effective route to compliance and audit preparation while minimizing the impact on operations.

The MediRegs and Top Tier Consulting team has worked with NCQA to develop a contract and collaborative relationship. As a result, MediRegs is able to provide NCQA Accreditation and Certification standards in their compliance database as well as a risk management tool based on the standards in their ComplyTrack™ for Health Plans. In addition, MediRegs Risk Assessment Tools include templates to assess adherence to the Medicare Monitoring Guide for plans, Part D, The Deficit Reduction Act and numerous general areas including Governance, Human Resources, Information Systems and Privacy, creating the most comprehensive solution on the market. Future plans include a link to the NCQA Interactive Survey System, which enables health plans to upload all related documentation and information collected throughout the regulatory compliance process.

In addition to the MediRegs technology, with the ComplyPath(SM) Solution a health plan client will benefit from the wrap around implementation and consulting services of Top Tier Consulting. The modular structure allows for a focus on the individual needs and stage of readiness of each client. By capitalizing on the efficiencies and expertise of the Top Tier Consulting, health plans will realize high quality outcomes while containing cost and human resource expenditure.

According to Steven Lefar, President of MediRegs, "We've taken the under-automated compliance process and have created a fully supported solution to make audit compliance and preparedness streamlined, seamless and available for standards across the enterprise. Unlike other systems that merely house the high level standard this solution includes detailed question sets derived from the standards, action plans and self audit surveys that are useable by line employees providing leverage to the accreditation and risk management process. If you are looking for a way to make the NCQA compliance process easier we believe that the Top Tier Consulting/MediRegs offering will go a long way to streamlining and simplifying an often tedious and costly process for Health Plans."

"There is not another comprehensive regulatory solution offered like ComplyPath(SM)," adds Gregory E. Anderson, Partner at Top Tier Consulting. "The ComplyPath Solution brings a bundled set of technology and software, pre-loaded content, pre-configured settings in a hosted service along with a team of experienced regulatory compliance professionals to assist accredited health plans with this important and complex regulatory task. The ComplyPath(SM) Solution solves the complexity of the regulatory compliance process from initial development through maintenance and audit preparedness by automating the project management component, providing a source for State, Federal and Medicare regulations and NCQA Accreditation and Certification Standards and providing storage, organization and version control of documents."

The ComplyPath(SM) Solution is available for demonstration to prospective clients with an expected distribution date later in June 2007.

About MediRegs and Top Tier Consulting

MediRegs is the leading provider of enterprise compliance, risk and reimbursement management solutions. More than 1000 organizations and 11,000 users turn to MediRegs more than 100,000 times a day. For more information visit:

Top Tier Consulting is a team of leading health care consultants with extensive experience in health care strategy, information technology and operations, medical management and regulatory compliance. Top Tier Consulting works with health plans/insurers, health care delivery systems and provider organizations as well as the technology and service vendors that support the health care industry. The Top Tier Consulting team has assisted clients from coast to coast. For more information visit:

Contact Information

  • Contact:
    Steven Lefar
    Phone: 800-808-6800 x 4
    Email: Email Contact

    Gregory Anderson
    Top Tier Consulting
    Phone: 818-338-2145
    Email: Email Contact