Delivering Operational Excellence in these areas:
Workflow Quality Auditing ◇ Operational Assessments & Diagnostics ◇ Business & Functional Requirements ◇ Systems Architecture ◇ Workflow Design ◇ Precision Outcomes
Anchor Management Consulting, LLC delivers independent operational assessments, management workflow engineering, and accreditation agency / quality / statutory compliance audits for health plans, risk-bearing healthcare organizations, and legal counsel.
CORE PRACTICE AREAS
Utilization Management & Systems Workflow
Auditing and streamlining health plan and /or hospital PFS authorization queues, nurse reviewer workflows, and case turnaround times (TATs). Translating clinical criteria into automated software business requirements and resolving operational handoffs between health plan medical management and/or hospital PFS teams and their respective IT architecture downstream into payer claims management systems.TRICARE® Manuals & Statutory Compliance
Independent operational evaluation of TRICARE authorizations, CPT and DMEPOS/HCPCS coding alignments, and payer coverage determinations. Conducting root-cause audits of delayed or denied claims and structuring administrative appeals grounded in current Defense Health Agency and TRICARE Program mandates.Institutional Standards & Operational Risk Advisory
Independent operational standard-of-care audits, correctional healthcare SLA monitoring, and administrative adverse event evaluations. Objective workflow analyses for healthcare facilities, municipal oversight bodies, and litigation counsel examining intake screening protocols, shift documentation integrity, and supervisory compliance.TRICARE is a registered trademark of the Department of Defense (DoD), DHA. All rights reserved.
PRINCIPAL LEADERSHIP
Robert Lehman, MS, BSN, RN
Founder & Independent Consultant
Contact Anchor Management Consulting, LLC