Welcome to Compliance & Auditing Services

Medicare Access and CHIP Reauthorization Act of 2015

Starting with the reporting year 2017, the current fee for service method of reimbursing physicians is going to evolve into a value-based methodology. Ignoring these changes can have a profound effect on your cash flow and profitability. In the past, physicians were paid based on

Immediate Action Required by Health Care Providers to Comply With Section 1557 of the Affordable Care Act

Affordable care act On May 18, 2016, the U.S. Department of Health and Human Services (“HHS”) Office of Civil Rights (“OCR”) issued the Final Rule implementing the prohibition of discrimination under Section 1557 of the Affordable Care Act (ACA) of 2010. Under Section

November 23rd, 2016|

Post Payment Audits

Audits are big business for insurance carriers. For every 2 dollars that insurance companies spend on investigations, they profit $17 dollars in recoveries. In fact, audit and investigation divisions are one of the most profitable divisions for insurance companies. Even though this doesn’t mean insurance carriers

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