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

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Audit & Attestation

High quality auditing and accounting services for federal, state and local government, not-for-profit as well as private industry.

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Consulting

Expert advice, guidance, planning, reporting, analytical capabilities and tools.

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Medicare/Medicaid Services

Extensive Medicare experience backed by a portfolio of accounting and consulting services provided to CMS and their contractors.