Services

Audits

• Review of audits performed by Medicare, CERT, RAC’s, Medicaid, 3rd party Insurers

• Compliance audits performed

• Self audits performed

 Compliance

• Review of compliance plans

• Custom tailored compliance plans created

Consultation

• Consultation and assistance for Medicare, Medicaid, and Commercial/3rd Party Insurance Appeals and Civil/Criminal Cases

• Redeterminations

• Reconsiderations

• Administrative Law Judge Hearings

• Expert Witness

Education

• Coding seminars provided for small practices, groups, & organizations

Forensic Medical Coding

• Review and consultation of medical and coding legal cases, including:

  • Healthcare Fraud

  • False Claims

  • Anti-kick Back

  • Medical Malpractice

Independent Review Organization

• Accredited by OIG as an IRO for Corporate Integrity Agreements