Our firm’s extensive experience in Managed Care operations, particularly in Part C program and plan development gives us the knowledge and tools to act as a third party auditor to validate that data reported to CMS is reliable, valid, complete and comparable using pre-determined measures. We help Medicare Advantage Organizations (MAOs) meet their contractual obligation with CMS to validate their submission data.
Our strategic partnership with IPC (Independent Pharmaceutical Consultants, Inc.) positions us to provide a full range of third-party validation services for both Part C & Part D.
We are a unique and powerful solution for validation needs because we offer such a broad range of services. This positions us to go beyond a basic audit and assist plans with solutions for any opportunities for improvement the audit findings uncover. Post-audit many plans rely on us for our proprietary data management & analytics tools as well as our healthplan operations and network development capabilities to create solutions for long-term success.