Medicare Consulting Services
Medicare Program Integrity Services:
- Eligibility
- Enrollment
- Data aggregation, reporting and validation
- Part A and B coverage and claims adjudication reviews and validation
- Part C (Cost Plans) cost report consulting, apportionment statistics consulting, audit liaison and corrective action plan consulting
- Part C (Medicare Advantage and MA-PD Plans) bid pricing tool (BPT), enrollment reporting, MMR and TRR reviews and reconciliations, claims and encounter data aggregation and reporting consulting and support
- Part D (Prescription Drug Plans) bid pricing tool (BPT), enrollment reporting, PDE reviews, PBM reviews and data validation, DIR reviews, TrOOP reviews, Part D reconciliation consulting and support
HITECH, Meaningful Use and Electronic Health records implementation, monitoring and reporting
Recovery Audit Contractor (RAC) liaison - CMS liaison
Medicaid Program Integrity Services:
- Eligibility
- Reporting
- Deeming
- Coverage determinations
- PERM contractor liaison
- CMS liaison
- Audit liaison
Please click here for a downloadable version of our Program Integrity Services.
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.