Integrity Contractor & Government Enforcement Consulting Services
Recovery Audit Contractors (RACs), Medicaid Integrity Contractors (MICs), Zone Program Integrity Contractors (ZPICs) and a litany of federal and state agencies and agents exist to uncover fraud and abuse in federally funded healthcare programs. Commercial insurers have taken note of the integrity contractor concept and are quickly moving to engage such firms. Trusent Solutions can assist you in developing administrative logistics to handle and track record requests, monitor analysis and perform proactive or reactive claims analysis. This includes determining the statistical validity of the analysis and extrapolations, criteria application and audit methodology. We also can assist you with the appeals process that strategically utilizes every stage of the appeal to maximize the chance for a successful result.
