01
Claims, appeals and payment review
We review claims before and after payment against billing rules and documentation. We track denials and appeals to their outcome. We identify underpayments and repeat errors and assign each one a corrective action. Every decision file carries the evidence the next reviewer needs. Clinical judgments stay with licensed reviewers.
02
Corrective-action closure across award years
We tie each finding to its root cause, an owner and a test that shows the fix holds, and we keep the record intact when reports change hands between award years.
03
Systems transition and cross-system control
We map each case's path across old and new systems, define the checks that confirm a handoff was received, and support data migration and user acceptance testing.
04
Vendor performance and acceptance
We set acceptance criteria for each service still owed, trace deliverables to the evidence that accepts them, and keep retired scope separate from active scope. Acceptance stays with the contracting officer.