What MOAP Evaluates
Services
MOAP's services begin with evidence-based Operational Intelligence Assessments™ governed by the MOAP Operational Intelligence Method™. When findings support further action, separately scoped solutions may help organizations implement and sustain improvement.
Engagement Acceptance
Submission of an inquiry initiates MOAP's engagement acceptance process. All inquiries undergo organizational review and screening before additional engagement activities are initiated. MOAP reserves the right to decline any engagement at its sole discretion.
Governing Framework
One Method. Four Specialties.
The MOAP Operational Intelligence Method™ governs every assessment. Scope, evidence standards, evaluation criteria, and deliverable structure are defined before data collection begins — ensuring findings are governed, not improvised.
Explore the full MethodOperational Intelligence Assessments™
Assessment Specialties
Prior Authorization Intelligence
Payers & Providers
Evaluate prior authorization operations against regulatory requirements, workflow standards, and evidence criteria. Produces findings on turnaround compliance, denial patterns, documentation quality, and staffing capacity.
Evidence Evaluated
- Authorization workflows and decision logic
- Regulatory turnaround compliance
- Denial communication and documentation
- Reviewer capacity and case distribution
- Analytics and reporting infrastructure
Executive Deliverables
Executive Findings, Improvement Priorities, Corrective Action Roadmap, Executive Briefing
Appeals Intelligence
Payers & Providers
Assess the integrity of the appeals and grievance process — from intake through resolution. Produces findings on compliance, overturn rates, denial communication quality, and systemic improvement opportunities.
Evidence Evaluated
- Appeals intake and processing workflows
- Denial communication quality
- Overturn rates and root causes
- Regulatory compliance posture
- Cross-organization coordination
Executive Deliverables
Executive Findings, Improvement Priorities, Corrective Action Roadmap, Executive Briefing
Claims Intelligence
Payers & Providers
Examine claims adjudication workflows, edit logic, denial patterns, and processing accuracy. Produces findings on operational and financial risk, processing gaps, and improvement priorities.
Evidence Evaluated
- Claims adjudication workflows
- Edit logic and processing accuracy
- Denial patterns and root causes
- Financial risk exposure
- Operational performance metrics
Executive Deliverables
Executive Findings, Improvement Priorities, Corrective Action Roadmap, Executive Briefing
Workflow Intelligence
Payers & Providers
Evaluate administrative workflow design, handoff integrity, and process documentation for operational efficiency and audit readiness. Produces findings on bottlenecks, gaps, and structural improvement opportunities.
Evidence Evaluated
- Workflow design and documentation
- Handoff integrity and process gaps
- Staffing model alignment
- Audit readiness posture
- Operational efficiency metrics
Executive Deliverables
Executive Findings, Improvement Priorities, Corrective Action Roadmap, Executive Briefing
What Leadership Receives
The Governed Deliverable Family
Executive deliverables are determined by the selected service, assessment profile, evidence available, and approved scope. The following represent the governed deliverable family from which each engagement is structured.
01
Executive Findings
Structured findings traceable to evaluated evidence — organized by domain, severity, and operational impact.
02
Executive Insights
Interpretive analysis placing findings in the context of regulatory requirements and organizational risk.
03
Improvement Priorities
A ranked set of recommended actions derived directly from findings, sequenced by impact and feasibility.
04
Corrective Action Roadmap
A structured plan for addressing identified gaps with clear ownership, timelines, and measurable outcomes.
05
Executive Briefing
A concise, presentation-ready summary designed for leadership review and regulatory response.
06
Enterprise Perspective
A cross-domain view of how individual findings connect to broader organizational risk and strategic priorities.
Separate Portfolio
Operational Intelligence Solutions
Following an assessment, MOAP may provide separately scoped solutions that help organizations operationalize approved recommendations.
Solutions are not included automatically and are governed independently from the assessment that produced the findings.
Governed Solution Examples
- Workflow Automation
- Operational Reporting Solutions
- Operational Dashboard Development
- Power Platform Solutions
- Corrective Action Implementation Support
Ongoing Engagement
Operational Intelligence Retainer
Ongoing access to the Method across specialties for organizations requiring continuous executive decision support as the regulatory and operational landscape evolves.
Retainer Includes
- Periodic Operational Intelligence Assessments™
- Regulatory interpretation and monitoring
- Ongoing improvement priority tracking
- Compliance preparation support
- Executive decision support on demand
Scope Boundaries
What MOAP Does Not Do
MOAP evaluates operational evidence and produces findings, recommendations, corrective action plans, and executive decision support.