Case Files

The work, on the record.

Anonymized engagements — audit defense, enrollment reinstatement, survey response — and the outcomes the record produced.

Skilled nursing facility · survey deficiencies

Three deficiencies, one corrective-action plan, accepted on the first pass.

A skilled nursing facility's three survey deficiencies, met with a corrective-action plan engineered as operational practice — accepted on first submission.

Hospice agency · payment suspension after analytics outlier finding

Flagged by an algorithm, suspended — and reinstated.

An AI outlier model suspended a hospice agency's payments. We corrected the credentialing record, answered the finding, and got it reinstated to active billing.

Medicare provider · UPIC records review & extrapolated demand

An extrapolated demand, reduced to a fraction at hearing.

A UPIC's extrapolated overpayment demand, challenged at an ALJ hearing — where the extrapolation was thrown out and the amount owed cut to a fraction.