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Program Audits and More

Working with the Centers for Medicare and Medicaid Services (CMS), Bland has developed an audit guide and a variety of audit programs for primary care practices and accountable care organizations (ACOs), including pioneer ACOs. This experience puts us in a unique position of leadership for improving audit and oversight standards to foster healthcare transformation. We support CMS in testing and spreading new delivery and payment methods to deliver better care at reduced cost.

As payment and delivery models evolve, Bland maintains a deep knowledge base of the history and goals of outcome-based health care. We audited Medicare Advantage Organizations, performed audits for eligibility in HITECH/EHR incentive programs and conducted retiree prescription drug subsidy (RDS) audits to reduce errors and ensure proper insurer reimbursements and compliance.

Our government consulting role helps our clients to identify and develop best practices across care models, whether we are prime contractors or part of a larger consulting team. In every case, we emphasize opportunities for program staff to improve oversight and internal controls in keeping with the newest protocols.

Our Outcomes

“The audit is much more efficient than other CMS audits we have been involved in. Also, the audit objectives and test work associated with them are easy to understand and do not place a huge burden on us to address or support them.
– Hawaii-based MA-PD

“The overall quality of the contractor’s work was very good. Audit tools developed were forward-looking and efficient. The contractor was able to anticipate needs to the RDS audits and develop / customize tools unique to the RDS program.”
– CMS contracting officer

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