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Program Integrity

TMF Health Quality Institute and its subsidiary, C2C Innovative Solutions, have an extensive quality assurance and improvement process. Our comprehensive quality program, referred to as the Quality Management System (QMS), includes documented work processes and instructions. The QMS program promotes quality at all levels and incorporates our values of "integrity, quality and value driving continuous improvement.”

Our expertise includes:

  • In-depth Medicare plan knowledge (e.g., Fee-for-Service, Medicare Advantage Part C & Medicare Part C and Medicare Part D)
  • ISO 9001 quality certification
  • Medical necessity and compliance
  • Qualified Independent Contractor
  • Second level appeals management from case receipt to final disposition
  • Surveillance and utilization review
  • URAC accredited Independent Review Organization (IRO)

C2C Innovative Solutions, Inc.
Surveillance and Utilization Review Services
Comparative Billing Reports (CBRs) and the Program for Evaluating Payment Patterns Electronic Reports (PEPPERs)
Vaccines for Children