gmcf.allianthealth.org

Alliant GMCF | Dedicated to Improving The Quality, Safety, And Value Of Health Care in Georgia

Skip to main content. Our Georgia Medicaid Division has continuously served this Georgia public program since 1972 with Utilization Management, Program Integrity, and Quality Management and Improvement services. These services support program needs focused on the appropriate allocation of resources, ensuring program compliance and appropriate payments, and improving the care and health of the Medicaid population.

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Alliant GMCF | Dedicated to Improving The Quality, Safety, And Value Of Health Care in Georgia | gmcf.allianthealth.org Reviews

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Skip to main content. Our Georgia Medicaid Division has continuously served this Georgia public program since 1972 with Utilization Management, Program Integrity, and Quality Management and Improvement services. These services support program needs focused on the appropriate allocation of resources, ensuring program compliance and appropriate payments, and improving the care and health of the Medicaid population.

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Alliant GMCF | Dedicated to Improving The Quality, Safety, And Value Of Health Care in Georgia | gmcf.allianthealth.org Reviews

https://gmcf.allianthealth.org

Skip to main content. Our Georgia Medicaid Division has continuously served this Georgia public program since 1972 with Utilization Management, Program Integrity, and Quality Management and Improvement services. These services support program needs focused on the appropriate allocation of resources, ensuring program compliance and appropriate payments, and improving the care and health of the Medicaid population.

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gmcf.allianthealth.org

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GMCF’s Compliance Program | Alliant GMCF

http://gmcf.allianthealth.org/content/compliance

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Services | Alliant GMCF

http://gmcf.allianthealth.org/content/services

Skip to main content. We pair our URAC-accredited processes with our proprietary system, Quantum XL, to provide a consistent and efficient approach to comprehensive utilization management. By integrating clinical criteria and our customers’ policies, Quantum XL provides one location for all review work and:. Helps with fiduciary responsibilities. Streamlines the review process. Provides prior authorization reviews. Produces retrospective reviews and data analysis. Performs real-time and automated reviews.

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Providers | Alliant GMCF

http://gmcf.allianthealth.org/content/providers

Skip to main content. There are many reasons to become a clinical peer reviewer:. To ensure that our health care dollars are well-spent. To promote fairness, accuracy, and consistency. To foster continuous improvement in healthcare. For the good of your own patients and community. To monitor the quality of care. Some important facts to consider:. The Clinical Consultant may be asked to serve on a specialty panel to provide medical expertise on various special projects. For more information on how you can...

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About Us | Alliant GMCF

http://gmcf.allianthealth.org/content/about-us

Skip to main content. Alliant GMCF is a division of Alliant Health Solutions. A family of companies that provides professional services supporting the effective administration of health care programs and funding to support health care improvement initiatives. Since 1970, Alliant GMCF has worked to improve healthcare delivery. We provide public and private organizations the services, expertise and information systems necessary to ensure cost-effective, efficient and medically necessary care. O...Services ...

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Georgia Medical Care Foundation (GMCF) | AHS

http://www.allianthealth.org/divisions/georgia-medical-care-foundation-gmcf

Skip to main content. A Culture of Service. Become a Clinical Consultant Reviewer. Georgia Medical Care Foundation (GMCF). Listed below are Alliant GMCF services. Contact us to discuss how we can help your program. Level of Care Determination. Fraud and Abuse Review/Analysis. SURS Review and Focused Studies. Quality Management and Improvement. HEDIS (Healthcare Effectiveness Data and Information Set). Medical Review and Consultancy. DRG and Coding Review and Consultation. Data Management and Analysis.

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Alliant GMCF | Dedicated to Improving The Quality, Safety, And Value Of Health Care in Georgia

Skip to main content. Our Georgia Medicaid Division has continuously served this Georgia public program since 1972 with Utilization Management, Program Integrity, and Quality Management and Improvement services. These services support program needs focused on the appropriate allocation of resources, ensuring program compliance and appropriate payments, and improving the care and health of the Medicaid population.

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Become a Peer Reviewer. Health Care Professionals / Providers. People With Medicare / Consumers. Alliant GMCF is a professional services organization dedicated to improving the quality, safety, and value of health care in Georgia. As a leading provider of customized health care solutions, we are committed to providing the most efficient, effective, and highest quality services to our customers. Georgia and North Carolina Medicare. Health Care Professional / Providers. People With Medicare / Consumers.