Compliance & Regulatory Support
Regulatory oversight is part of doing business in the healthcare environment. Payers need robust internal processes for program effectiveness and ensuring that they are prepared for state and/or Federal audits. Integrity Advantage assists commercial and government-sponsored payers in creating and managing effective fraud, waste and abuse programs. Our experience in building FWA programs includes various lines of business such as:
- Medicare (all lines)
- Medicaid
- Federal Employees Health Benefits (FEHB)
- Commercial
- Self Funded
We help in creating anti-fraud plans, compiling regulatory reports, preparing for audits and responding to audit requests. We quickly identify regulatory requirements, build out sustainable and efficient processes, and monitor progress throughout program execution.
Are You Audit Ready?
If you are expecting a state or federal audit of your fraud, waste and abuse program, being prepared is key.
Our FWA SIU audit support examines and assists you in implementing effective P&P’s, training, lines of communication, internal FWA monitoring and responses to allegations.
Tap into expertise that will assist you in executing on your regulatory obligations to promote organizational integrity through the operation of your program.