Forensic Audits Many small and medium sized providers do not have an effective in-house compliance program because of the cost or lack of expertise. We assist agencies wishing to protect its interests by:
Conducting external audits to determine adequacy and effectiveness of internal controls in the prevention and detection of fraud and embezzlement
Assisting to maintain compliance with federal and state regulations
Preparing you for Provider Monitoring
Developing Plans of Correction
Superintending plans of correction and settlement agreements
Case Consultation We will provide case consultation to your attorney and expert witness services to your attorney regarding:
RAC Notice of Over Payments
MCO Re-considerations
Program Integrity Hearing
Other Adverse Actions
Corporate Compliance
Develop compliance plans
Provide compliance and documentation training
Train quality assurance staff
RCG requires a Business Associate Agreement with our customers to be in compliance with 45 CFR 164.522. Please complete this online BAA. A copy will be e-mailed to you.