Together with other health professionals of the MOH based in Paran谩/Brazil, I am responsible for determining whether a health program is complying with established regulations, protocols and procedures. Our main activities include investigations of hospitals, nursing homes, organized health systems, rural and Indian health clinics, MOH priority programs, including contractors and fiscal intermediaries.
We perform special and complex reviews of health care maintenance organizations; determine and obtain compliance with Federal and State laws and regulations governing various program contractors, preventive health programs and NHS (SUS) reimbursements; conduct informal appeal hearings, r...
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