Who we are
About
The founder, the bench, and the case-file methodology.
Our methodology
Intake, evidence, deploy, cite, close — five steps, every engagement.
The team
Credentialed investigators, clinicians, and compliance leads.
Case files
The work, on the record — sourced outcomes that held up.
Citation-grade, before the payer asks.
Industries
Healthcare Providers
Hospitals, post-acute, physician groups, FQHCs — compliance, RCM, audit defense.
Healthcare Counsel
Defense and plaintiff firms — sourced investigation and quantified expert support.
Government Programs
State Medicaid, federal contractors — program integrity and surveillance review.
Security, Data & Investigations
PI firms, cyber and risk teams operating in healthcare-adjacent matters.
Provider Types
Services
Seven disciplines. One engagement lead.
Start-up, Credentialing & Enrollment
Agency start-up · enrollment · revalidation · CHOW
Revenue Cycle, UR & Documentation
Billing · denials · audit-grade documentation
Compliance, Survey & Regulatory
Internal audits · survey readiness · CAP engineering
Audits, Appeals & FWA
Litigation support · expert services · administrative appeals
Investigations & Cybersecurity
Investigations · HIPAA governance · incident response
Data & Analytics & Acta
Evidence pipelines · OCR · AI review · Acta platform
Strategic Advisory
M&A diligence · growth · fractional leadership
Acta
The AI review platform behind the case file.
The Healthcare Intelligence Layer
Insights
Blog
Practical writing on healthcare compliance, revenue cycle, investigations, and program integrity from the Precisian team.
News
Healthcare regulatory news and enforcement updates — curated from CMS, OIG, MACs, and industry sources.
Field notes from the case file.
Field notes from healthcare's most consequential matters — compliance, RCM, legal investigative, data, security, government. Written as we work.
Survey teams are testing documentation depth and clinical-to-billing linkage in ways that crater outcomes when programs aren't audit-ready.
CMS's CY2027 Home Health proposed rule lets skilled palliative care be furnished and billed under the existing home health benefit. Here is the real opportunity, and the compliance discipline it demands, for home health and hospice leaders.
Hospice oversight is increasingly shifting toward data-driven pattern analysis. Recent enforcement actions and CMS anti-fraud initiatives suggest providers should closely monitor live discharge rates, documentation consistency, and other statistical indicators before they become regulatory concerns.
Hospice TPE round one tests eligibility documentation against medical-review methodology. Five specific things contractor reviewers look for in the six-month prognosis narrative.
Section GG functional scoring drives PDPM PT and OT case-mix. Where contractor sampling tests the chart against the score, and where takebacks compound across every claim in the look-back.
Two Minnesota men pleaded guilty to wire fraud for submitting more than $500,000 in false Medicaid claims to the state's Housing Stabilization Services program through their company, Pristine Health LLC. Each faces up to 20 years in prison, and sentencing dates have not been set.
McKnight's reports that CMS's Risk-Based Survey model could reduce some survey pressure on nursing homes, but strict eligibility requirements and ongoing state survey agency funding shortfalls limit its reach. As a result, broader survey backlogs and oversight gaps are likely to persist.
CMS published Preliminary CY 2026 Annual Performance Reports for the expanded Home Health Value-Based Purchasing (HHVBP) Model in iQIES. The reports show each agency's payment adjustment, from minus 5% to plus 5%, that will apply to Medicare fee-for-service claims in CY 2027 based on CY 2025 performance. Agencies that requested a recalculation have until Oct. 16, 2026, to request reconsideration.
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.
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.
A skilled nursing facility's three survey deficiencies, met with a corrective-action plan engineered as operational practice — accepted on first submission.