Improving Accuracy and Efficiency in Medical Management with RegQuest

RegQuest™ details many of the business, legal and regulatory forces directly impacting the medical management system, including new requirements adopted under the Affordable Care Act. This user-friendly tool serves as the definitive guide to help you understand how these changes affect the health care system and your business. Current modules include Utilization Management (UM), External Review (ER) and Grievance.


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RegQuest is pleased to offer Trend Reports as well as Executive Summaries to our registered users on a complimentary basis. The Executive Summary provides an overview of the more detailed information offered in the full Annual Report.


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Watch our webinars to gain knowledge on everything from Market Trends in Utilization Management to Equality of Care for Mental Health.


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Check out our blog to keep up with the activities in medical management regulations.


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The Utilization Management (UM) module includes information on the scope, licensure and program requirements, reviewer qualifications, and appeals processes.


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The External Review (ER) module is designed to provide a functional summary of ER laws and regulations including applicable time frames, notice requirements and state compliance with NAIC Model Act requirements.


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The Grievance Procedure (GP) module details the relationship between grievance procedures, which are often used in conjunction with internal appeals, and provides an overview of regulations. 

Who Should Subscribe?

RegQuest is a must-have resource for all stakeholders who require a better understanding of how to comply with state and federal laws regarding medical management and the appeals process. This includes regulators, payors/carriers, independent review organizations, employers, community support groups, third party administrators, case managers, brokers, employees and behavioral health specialists. Contact us today to learn more about multiple license discounts and membership pricing.