Experience
Medicare Program Integrity Services
- Managed Care Cost Report Audits and Appeals
- Medicare Advantage Organization and Prescription Drug Plan – 1/3 Financial Audits
- Pharmacy Benefit Manager Audits
- CMS National Retroactive Processing Contractor
- Enrollment, Eligibility and Dual-Eligible Assessments
- Medicare Part D Recovery Audit Contract Data Validation Services
- All CMS and Other Regulatory Compliance Consulting, Auditing and Reporting
Medicare Administrative Contractor Operations Audits
- SSAE 18 (formerly SSAE 16)
- Provider Audit & Reimbursement Operations (audit) Outsourcing and Support
- Claim Payment Accuracy Audits
- Program Operations and Activity Compliance Audits
- CFO Reports (750/751/Treasury) Reconciliations and Process Consulting
- Conflict of Interest Mitigation Services
Appeals Support
- Medicare Operations
- Payment Litigation Support
- US Attorney, Memphis – Medicare Part A and Part B
- Department of Justice – Medicare Part D
Pre-award, Cost and Accounting System Audits and Reviews
- Pre-award accounting system assessments
- Pre-award cost proposal reviews
- Pre-award, Cost and Accounting System Audits and Reviews
- Program specific cost incurred audits
- Billing reviews
- Financial capability assessments
Education and Training
- Medicare Operations, Internal Controls and Compliance
- Medicare Part D Reconciliations
- Medicare Enrollment and Payment Reconciliations
- HUD Consolidated Audit Guide
- SSAE 18
- Internal Controls and Service Organization Controls (SOC) Reports
Other Audits, Examinations and Reviews
- Indirect cost rate proposals and cost allocation plans
- Program audits
- Performance audits
- Revenue and expenditure audits
- IT controls and security audits and assessments
- SSAE 18 and SOC examinations and audits
- Operational audits
- Inventory audits
- Other financial, compliance and/or performance audits
Other Consulting Services
- Medicare enrollment reconciliations
- Medicare beneficiary ID implementation, reconciliation and reporting
- Medicare payment reconciliations
- Medicare financial operations assessments
- Eligibility reviews and determinations
Audit & Attestation
High quality auditing and accounting services for federal, state and local government, not-for-profit as well as private industry.
Medicare/Medicaid Services
Extensive Medicare experience backed by a portfolio of accounting and consulting services provided to CMS and their contractors.