Services

Responding to Government Auditors

Responding to Government Auditors

Strategic Management can assist organizations by providing a quick analysis of findings from CMS Contractors, such as the Recovery Audit contractors (RACs), Medicaid Integrity Contractors (MICs), and Zone Program Integrity Contractors (ZPICs), as well as State Medicaid OIG Audit & Investigation units.  Our services, which typically involve independent analyses of claims processes to determine the proper levels of any overpayments, assist organizations in developing a response to those findings.

The Firm’s claims review follows the OIG RAT-STATS protocol that should be conducted to validate external contractor’s analysis, determine whether there are grounds for contest, and carefully present such findings. Strategic Management is experienced and prepared to work with counsel and act as an Expert Witness on behalf of the provider for the work performed.

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