CRAIGroup
Hospital/Clinic - Philadelphia, PA, US
CRAIGroup Employees
CRAIGroup Senior Management
CRAIGroup Details
Compliance, Risk Assessment, and Investigations Group aka CRAIGroup is committed to helping healthcare providers - including hospitals, physician groups, ancillary providers, and pharmacies - get compliant and stay compliant with federal and state healthcare laws and regulations.CRAIGroup offers the following three services:1. Outsourced Compliance Officer – OCO for hospitals, physician practices, and ancillary providers.2. Risk Assessment and Mitigation – Evaluate the accuracy of traditional Medicare claims that physician(s) submit to Medicare Administrative Contractors (MACs) and assess coding proficiency (CPT, ICD-10-CM, and HCPCS). Also, review the results of Medicare Recovery Audit Contractor (RAC), Medicaid Integrity Program (MIP), and state Medicaid agency audits.3. Compliance Investigations – Work with outside or in-house legal counsel to conduct targeted compliance investigations of hospitals, physician practices, ancillary providers, and pharmacies.
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