Q

Business management consulting services provided to health care providers, health care suppliers, and medical benefits providers, in relation to federally mandated and state mandated [ medical peer review ] programs; business management consulting services in relation to healthcare quality improvement services, namely, healthcare quality improvement program development and implementation, quality improvement technical support to hospitals, nursing homes, home health agencies and physician offices, evaluation of quality and appropriateness of healthcare services provided, quality of care measurement and reporting, data analysis and program evaluation; business management consulting services in relation to health information technology services, namely, developing and evaluating technical assistance in relation to healthcare providers in relation to the purchasing, implementation and use of electronic health records as well as associated office workflow redesign, health information exchange (HIE) interoperability, and privacy and security training for ensuring the security of medical records and information; [ identification and implementation of health care utilization and review services, health care cost containment and cost review services, medical cost management service, ] and; market analysis of health care services, namely, studies of health care needs and trends among defined populations

Administration of health insurance claims and health benefits claims, namely, payment error detection and payment error prevention; [ administration of insurance related risk management review services featuring ] peer review of medical practices and peer review of complaints by recipients regarding the quality of medical care received

Consulting related to medical quality assurance services, and quality review services, namely, review of medical practices, independent quality review of medical services rendered, and independent review of claims as required by various states in respect to quality control for health care providers