In Compliance Audit projects, our audit teams develop and execute structured audit programs to target and ensure providers are providing care and billing appropriately with respect to the program's specific coverage, documentation, billing, reimbursement, and quality of care requirements. We perform GAGAS compliant audits for CMS, States, managed care organizations, and employers, leveraging our clinical and reimbursement staff as needed.
We verify over 2.3 million insurance policies each month.
