IntegrityM specializes in doing exactly this. Our team of healthcare experts, data analysts, and former government program managers is able to approach our work from many different perspectives to find the root of the problem and solve it.
IntegrityM’s multi-disciplinary staff uses sophisticated data analysis and advanced statistical methods to identify program vulnerabilities, potential overpayments, and potential fraud and abuse. Our analyses include:
Our audit services include:
Our investigative team conducts confidential investigations of allegations ranging from misconduct to fraud.
IntegrityM has supported various federal government program integrity efforts including assisting agencies such as CMS and the US Postal Service with specific data analysis, audits and investigation services. Examples of specific contracts we have been involved in include:
With a staff of investigators, data analysts, and clinicians experienced in an array of CMS Program Integrity contracts, Medicaid Integrity programs, unified program integrity contracts (UPICs) and Program SafeGuard Contracts, IntegrityM is able to utilize our broad expertise to develop a very focused or an enterprise approach, to aiding program integrity contractors in identifying and deterring fraud, waste, and abuse involving healthcare claims.
For government programs, whether the claims involve Medicare, Medicaid, or both, IntegrityM is able to provide staff extenders, or work as standalone units, to review claims to determine whether claims were improperly paid and whether overpayments are due. Our staff can provide consulting assistance or expert witnesses to program integrity contractors and law enforcement agencies in the event of civil or criminal proceedings.
IntegrityM holds several GSA contracts. Our primary GSA Schedule NAICS code is 541611 – Administrative Management & General Management Consulting Services, however we hold several additional contracts including:
For a complete list of codes and additional information about IntegrityM, please visit our GSA contract vehicles page.
If you’d like to speak with our Program Integrity consulting experts, call (703) 683-9600 or click here to fill out our form.
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