Compliance Management & Program Integrity
IntegrityM is a trusted partner to government agencies, health plans, and healthcare systems, delivering expert solutions in compliance management and program integrity. With over 20 years of experience, we help our clients meet regulatory standards, prevent fraud, waste, and abuse (FWA), and optimize program oversight through our tailored services and subject matter expertise.
How We Support Compliance Framework Alignment and Audit Readiness
IntegrityM helps clients navigate and implement compliance frameworks ensuring full alignment with federal and state-level requirements. We align organizations with federal and state-level regulations to support audit readiness, risk management, and long-term regulatory compliance success, ensuring efficiency and accountability across operations.
- Alignment: CMS, VA, NSF, HRSA and Medicaid compliance frameworks
- Comprehensive audit readiness support
- Risk assessments and mitigation planning
- Corrective Action Plans (CAPs) and program implementation
Program Integrity Services to Strengthen Oversight and Prevent FWA
Protecting public programs requires precision, vigilance, and deep expertise. IntegrityM leverages cutting-edge analytics, automation, and proven investigative techniques to detect risks early and reinforce program integrity.
- Proactive FWA prevention strategies
- Detection of improper payments using AI and advanced analytics
- Comprehensive audits, reviews, and data-driven investigations
- Program vulnerability assessments and mitigation
Organizations We Support Nationwide
IntegrityM partners with a wide range of healthcare and government stakeholders across the U.S. to deliver scalable compliance and integrity services tailored to each client’s mission.
Federal Agencies & Programs
CMS, CCIIO, CCSQ, CM, CMMI, CPI, HRSA, MCAG, OFM, VA, & NSF
State Medicaid Entities
Medicaid state agencies and program offices
Managed Care Organizations
MCOs and commercial health plans
Marketplace & Contractors
ACA Marketplace entities and private healthcare contractors
Why Clients Trust IntegrityM for Compliance & Integrity Solutions
Discover what sets us apart – from our agile small business model and elite team of industry and former government experts to our technology-enabled services that drive measurable outcomes. Our commitment to integrity is built into every solution we deliver.
- Proven federal program experience and insight
- Outcomes-driven, data-powered service delivery
- Rapid, scalable solutions tailored to mission needs
- Strategic use of emergent technologies, AI, machine learning, and automation for smarter oversight
Our Proven Methods
We combine subject matter expertise with automation and AI to support compliance and program integrity from every angle. Our methodology includes data analysis, targeted investigations, and automated specialized tools like ASΣPro™ for statistical sampling and extrapolation.
- Comprehensive claims and data analysis
- Specialized healthcare fraud investigations
- Federal grants, contracts, and compliance audits
- Statistical sampling and extrapolation with ASΣPro™ or RAT-STATS
- Medical documentation and coding review
- Targeted education and training
Let’s Strengthen Your Program Together
Ready to protect your program and exceed compliance goals? Talk to our experts today to see how IntegrityM can help you detect vulnerabilities, optimize audits all while minimizing risk.
