Answers about how we work — compliance, revenue cycle, consultations, Acta, working with your counsel, and the engagement process.
Precisian Group is a healthcare evidence intelligence firm — consulting, compliance, investigations, and analytics under one engagement lead. Across seven disciplines, from start-up and credentialing through audit defense, investigations, and strategic advisory, we turn clinical work into citation-grade, audit-defensible evidence. Our clients span healthcare providers, the counsel who defend them, government programs, and security and investigation firms — in Texas and nationally.
Four constituencies rely on Precisian: healthcare providers — hospitals, physician practices, FQHCs, home health agencies, hospices, skilled nursing facilities, behavioral health organizations, DMEPOS suppliers, and Medicaid waiver programs (HCS/TxHmL) — the healthcare counsel who defend them, government programs, and security and investigation firms. If your matter turns on what the clinical record can prove, we can help.
No. While we have deep expertise in Texas Medicaid (STAR+PLUS, HHSC rule sets, MCO contracts), our federal compliance and revenue cycle work is national. We regularly engage with providers across the country on CMS regulatory matters, MAC audit response, and OIG risk management.
No. Precisian is the expert layer between your operation and your counsel — expert consultants and licensed investigators (clinicians, a Texas PI, a CFE, RAC-CT) who build the record and the methodology challenge your attorneys argue from, and who can serve as testifying experts. We work alongside counsel, not in place of them.
No. Nothing on this site or in our work is legal advice, and engaging Precisian does not create an attorney–client or other professional relationship. We build citation-grade evidence, conduct licensed investigations, and provide expert testimony; your counsel provides the legal strategy and advice.
A Precisian compliance audit is documentation-first. We review clinical records, coding, physician orders, and billing patterns against the specific LCD, NCD, or CMS transmittal that governs your service line. You receive a written findings report with citation-grade evidence, a risk classification for each finding, and a corrective action plan with clear ownership and deadlines.
Our RCM work spans the full claim lifecycle: eligibility and authorization workflows, coding accuracy (OASIS, MDS, ICD-10), claim submission and scrubbing, denial management, and MAC audit response. We focus on the root causes of revenue leakage rather than one-time fixes — so improvements hold.
The 30-minute Discovery Call is a focused conversation — no pitch deck, no sales script. We listen to your current situation, identify the highest-priority regulatory or revenue risks you're facing, and tell you plainly whether and how Precisian can help. If we're not the right fit, we'll say so.
Most engagements begin within one to two weeks of the discovery call. For urgent matters — active audits, CIAs, or imminent survey citations — we can prioritize faster onboarding. Scope, timeline, and fees are agreed upon before any work begins.
Fixed-fee wherever the scope can be defined — diagnostics, audits, and appeals are quoted as a number, not an hourly meter. Scope, timeline, and fees are agreed in writing before any work begins, and the expert who scopes the engagement is the expert who does the work. No leverage model, no big-firm overhead: senior-level methodology at solo-firm economics, priced for operators.
Acta is Precisian's AI review platform — the healthcare intelligence layer. It reads clinical documentation the way a contractor's analytics do, turning the raw record into citation-grade, audit-defensible evidence: every finding sourced to the regulation, the chart entry, and the verbatim quote. It's built for providers and the counsel who defend them who want to find the gaps before the payer does, and is currently in private preview.
Acta is built for the teams whose work gets audited — compliance officers, clinical documentation and billing leaders, and the counsel who defend them — across skilled nursing, home health, hospice, hospitals, DME, and more. It's most valuable where documentation volume is high and the exposure from a single recurring pattern compounds across claims.
Most audit tools flag billing anomalies after the fact. Acta flags documentation gaps — the clinical-to-billing disconnects that fail under contractor review — and maps each one to the actual review criteria, so you see not just what's wrong but why it matters and what a defensible record looks like. No black box: every finding is sourced and exportable.
Yes. We have specific expertise in STAR+PLUS MCO credentialing, HHSC rule compliance, WISeR system requirements, and the managed care contract terms that govern post-acute services in Texas. We work directly with providers navigating MCO audits, rate adjustments, and the DME procurement environment managed through HHSC.
STAR+PLUS is Texas Medicaid's managed care program for individuals who are aged, blind, or disabled — and it is the primary payer for most home- and community-based post-acute services in Texas. Because STAR+PLUS routes Medicaid funds through managed care organizations (MCOs) rather than directly through HHSC, providers must maintain compliant credentialing, authorization, and documentation with each MCO they contract with. Changes to STAR+PLUS rules, MCO contract terms, or WISeR credentialing requirements directly affect reimbursement and market access for Texas providers.