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Medical Group/IPA Operations Oversight

Our operations oversight program is designed to promote the highest quality care and service to members of Advanced MSO and its affiliate IPAs and medical groups. Our ability to bring management and physicians together for collaboration will bring forth advanced initiatives.

Delegation of Admin Functions

Administrative services maybe delegated to IPAs, medical groups, or other organizations include but are not limited to the following:

  • Claims payment
  • Credentialing
  • Transportation
  • Utilization Management (UM)

Credentialing functions may be delegated to capitated or non-capitated entities, which meet NCQA criteria for credentialing functions. Utilization Management (UM) and/or Claims payment responsibility is generally only delegated to capitated entities. Transportation may be delegated to Vendors who can meet Transportation, as well as Claims Payment requirements.