NHA’s Instructional Designers and Training Technicians have developed Computer Based Trainings (CBTs) used by MACs and thousands of insurers across the country.
As the Medicare Secondary Payer Integration Contractor (MSPIC), NHA successfully implemented a streamlined system to manage deliverables and assess risks to the Coordination of Benefits & Recovery (COB&R) program.
NHA led the development of automated testing protocols that improved the efficiency of the COB&R system change release process.
As the Program Integrity Operational Review Contractor (PI ORC), NHA analyzed CMS’s Medicare-Medicaid program integrity processes and created a comprehensive list of best practices and recommendations, helping CMS redefine and improve its program integrity efforts.
As the Evaluation & Oversight (E&O) contractor, NHA developed auditing protocols to assess the accuracy of Qualified Independent Contractor (QIC) and Medicare Administrative Contractor (MAC) appeals decisions.