Medical Audit and Compliance

Our medical audits focus on identifying and correcting problem areas before commercial or government payers challenge inappropriate coding or documentation that could trigger a potentially costly and time-consuming third-party payer audit.

Our team is led by a Certified Professional Medical Auditor (CPMA) and Certified Professional Compliance Officer (CPCO) and has provided medical auditing and compliance program reviews in-house for healthcare corporates either being acquired or sold, or those in the midst of carrying out a corporate expansion plan. Audits are conducted as part of Buy-side/Sell-side processes, platform add-ons/acquisitions, and/or annual or periodic internal audits on an ongoing basis. We work closely with our clients, private equity sponsors and their portfolio companies, as well as with lenders, bankers and corporates, to determine the appropriate number of charts for review and frequency, which can be one-time, semi-annual, annual, or on an as-needed basis.