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.

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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.