Audit & Evaluation Services for Federal, State, and Managed Care Programs
IntegrityM helps government agencies and program leaders strengthen compliance, identify improper payments, and improve operational performance through independent audits and evaluations. Our audit-ready solutions ensure programs meet federal, state, and managed care regulatory requirements – protecting public trust and preserving critical funding.
What We Audit
IntegrityM audits a broad range of programs and initiatives across Medicaid, Medicare, managed care, and federal grants. We ensure compliance with GAGAS standards and agency-specific guidelines, providing a detailed assessment of processes, documentation, and fiscal controls.
- Medicaid and Medicare program compliance
- Managed care organization audits
- Federal grant and contract performance reviews
- Evaluation of internal controls and documentation processes
- Financial accuracy and regulatory adherence assessments
Key Audit Capabilities
Our team goes beyond surface-level reviews, using advanced data analytics and proven audit methodologies to uncover root causes of noncompliance, improper payments, and operational vulnerabilities.
- Improper payment detection and mitigation strategies
- Medical coding audits to identify billing inaccuracies and overpayments
- Root cause analysis and risk scoring
- Data analytics for claims sampling and trend analysis
- Development of corrective action recommendations based on audit findings
Risk Assessments & Compliance Planning
IntegrityM helps agencies proactively identify risks and prepare for successful audits. Our risk assessments and pre-audit evaluations strengthen compliance frameworks and support continuous improvement.
- Compliance gap assessments and audit readiness planning
- Internal risk scoring aligned to program priorities
- Corrective action plan development and implementation support
- Policy and contract review for regulatory alignment
- Documentation preparation for federal audit standards (for example CMS, HHS)
Performance Evaluations & Program Outcomes
Beyond compliance audits, we conduct program evaluations that measure effectiveness, operational efficiency, and strategic goal alignment. These insights empower agencies to make data-driven, evidence-based decisions.
- Independent evaluations of program success and outcome delivery
- Measurement of operational efficiency and process improvement opportunities
- Analysis of key performance indicators (KPIs) and outcome metrics
- Support for strategic planning and program optimization based on evaluation findings
Why IntegrityM for Audit & Evaluation Services
Agencies choose IntegrityM for our deep expertise in federal audit standards, proven results, and commitment to client success. We deliver audit-ready support that withstands regulatory scrutiny and drives meaningful improvements.
