Our Credentials
  • 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)
 


 

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