The van Halem Group’s experience provides our clients with the benefit of remaining compliant and knowing how to navigate government and private healthcare payors and their complex processes. Our products and services are divided into two categories: Proactive and Reactive. Our proactive services are designed to prepare and protect your business from risk. These types of services include prescreen claim reviews, audits, risk assessments, education and training, and monthly compliance packages. Our reactive services are designed to help resolve and correct issues while minimizing any negative impact on your organization. Reactive services include, but are not limited to: audit response solutions, appeal preparation, enrollment issues, compliance investigations, on-site assessments, Corrective Action Plans, expert and consulting witness services, etc.
Our staff is highly experienced and can provide assistance with MAC, RAC, ZPIC, SMRC or UPIC audits. In fact, many of our staff formerly worked for these contractors performing audits, medical review, and appeals.