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Our Credentials

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  • Certified by the Centers for Medicare and Medicaid Services (CMS) as a Quality Improvement Organization (QIO).

  • Certified by the State of Maryland as a Private Review Agent.

  • Certified to perform Utilization Review.

  • Prime Contractor performing Outpatient Medicaid Bill Audits for State of Maryland.

  • Prime Contractor performing Inpatient Medicaid Hospital Bill Audits for the State of Maryland.

  • Prime Contractor for the Rare and Expensive Case Management (REM) Program for the State of Maryland.

  • Registered provider of Vocational Rehabilitation Services with Maryland's Workers' Compensation Commission.

  • Employee Membership in the American Association of Medical Audit Specialists (AAMAS)

  • Certified MBE

  • Certified to perform Case Management and Service Coordination.

  • URAC Accredited Case Management Organization (www.urac.org)