top of page
Law

Services

Expert Services

CMS Revocation & Preclusion Experts

  • Experienced Healthcare and Litigation Support Services  

  • Investigation related to the revocation and independent assessment of the issues.

  • Specialty Specific Subject Matter Experts

  • OIG/ SIU investigators and UPIC Audit Experts

  • Audit and Appeal Investigations and Reconsiderations

  • CMS Revocation & Preclusion Reconsideration response preparation, submission and support

  • Corrective Action and Voluntary Rehabilitation ( turn around) Support Team including but not limited to:

    • Coordinated CAP Project management and oversight

    • Comprehensive Custom Compliance Program, implementation support, and interim CO and committee

    • Experienced Outsourced Revenue Cycle Integrity / Management Team

    • EMR/ LIS / IT Support

    • Auditing and Monitoring with Education

    • Credentialing & Exclusion Checking Services

    • Reporting if required ( similar to CIA reporting )

    • Other Custom Workflow and Compliance related strategies based on the nature of the revocation

Compliance Support - Program Implementation & Strategies

Its the most important insurance policy you may ever have.

 

  • Program assessment, development and implementation support 

  • Audit workplan support 

  • Annual FWA and RCM training and education 

  • Corporate Integrity Agreement (CIA) 90-day implementation support 

  • Medicare & Medicaid program integrity  

  • Health plan audit and appeal support (TPE, UPIC, RAC, SMRC) 

  • Investigations and root cause analysis 

  • Corrective Action Plans (CAP) 

  • Voluntary Corporate Integrity Improvement Plans 

  • Turn Around Strategies and Implementation Team  

  • Litigation Support  

ProCode Credentialing Brochure.png
Credentialing

  • Denials may be due to credentialing issues.  

  • Credentialing – ask about our national full-service credentialing team 

  • Health Plan Enrollments  

  • State licensure and other registrations  

  • PECOS and CAQH  

  • Maintenance packages 

  • Merger and acquisitions 

  • New practice and provider onboarding expertise 

Revenue Cycle Integrity & Beyond

Revenue cycle integrity starts at the front desk and ends with complete and proper payment. 

​​

  • RC Assessments  

  • Documentation and coding compliance  

  • Analytics support - Simple and complex 

  • Audits - Multispecialty prospective and retrospective (ask about our niche areas of expertise) 

  • Statistically valid random sampling  

  • Workflow assessments and denial management  

  • RCM Staff quality assurance and education packages  

Training & Education

Be proactive! Give your staff and providers the tools and knowledge they need to be successful. 

​

Custom training and education packages are available to suit your specialty and your needs.

 

  • National Speaker  

  • Multispecialty Documentation and coding compliance  

  • Evaluation & Management documentation and coding experts 

  • Fraud Waste and Abuse compliance training 

  • Enforcement Actions and Risk Mitigation Strategies 

  • Audits and Enforcement Actions 

Magnifying Glass
Subject Matter Expert Witness Service & Support

  • Independent review of the issues/ dispute 

  • Affidavits 

  • EW Reports 

  • Arbitration & Mediation Testimony experience 

  • Deposition and trial experience 

Schedule a Consult

Unlock tailored solutions for your healthcare compliance needs. Schedule a consultation and let's navigate your path to success together.

Thank you, we will be in touch soon!

Schedule a Consult
bottom of page