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.
Becker's continues to track hospitals and health systems terminating Medicare Advantage contracts in 2026, with operators citing prior-authorization denials and slow reimbursement. Reported examples include Mayo Clinic going out of network with most UnitedHealthcare and Humana MA plans and NewYork-Presbyterian exiting UnitedHealthcare MA. Becker's notes the list is not exhaustive and is updated as more systems announce exits.
National Healthcare Properties said it will remain neutral and make no recommendation on an unsolicited mini-tender offer from MacKenzie Capital Management to buy up to 150,000 shares — about 0.2% of outstanding shares — at $7.27 each. The company noted the price is roughly 47% below the stock's last reported Nasdaq sale price and warned the offer appears opportunistic. The REIT owns seniors housing and medical real estate.
HHS is actively enforcing the 21st Century Cures Act's information-blocking rules, issuing notices of potential nonconformity after more than 1,600 complaints were filed through its health IT feedback portal. Health IT developers found in violation could face penalties of up to $1 million per violation, while providers could be barred from receiving certain Medicare payments. The move follows a 2025 directive to increase enforcement resources.
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.