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Auditing

delgroupHealth Integrity’s auditing services target billing, quality, compliance, and benefit integrity review.

Our compliance auditing provides comprehensive reviews of drug plan and provider compliance that determine whether they have structures and processes are in place that meet government program requirements.

Benefit integrity auditing includes modules for health care providers, pharmacies, pharmacy benefit management (PBM) companies, and drug plans.

Our auditing services include:

  • Comprehensive reviews of organizations’ compliance to government program requirements.
  • Identifying appropriate corrective actions.

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  • Data Analysis
  • Investigations
  • Provider/Supplier Site Visit Verification
  • Auditing
  • Medical Review and Analysis
  • Biometrics

Contact

Health Integrity, LLC

9240 Centreville Road

Easton, Maryland 21601

1-866-886-2658

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Services

  • Data Analysis
  • Investigations
  • Provider/Supplier Site Visit Verification
  • Auditing
  • Medical Review and Analysis
  • Biometrics

Contracts

  • NBI MEDIC
  • Audit MIC
  • ZPIC 4
  • ZPIC 2
  • Predictive Modeling Development Task Order
  • Compliance Audits
  • Provider Site Visits
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