The intersection of legal determinations, operational strategy, and high-throughput CMS compliance. Mission-critical delivery for the No Surprises Act, IDRE agencies, and federal healthcare mandates.
Partner with us → Our expertise ↓We operate at the intersection where federal mandates meet operational reality
Expert adjudication of complex healthcare claims, disputes, and regulatory interpretations. Our legal teams navigate the intricate landscape of federal healthcare law with precision and speed.
Designing scalable systems that balance regulatory compliance with operational efficiency. We build frameworks that don't just meet requirements — they exceed them sustainably.
Processing thousands of determinations daily while maintaining exacting quality standards. Our systems are built for volume without sacrificing accuracy or compliance.
Direct partnership with CMS on programs that impact millions of Americans. From the No Surprises Act to IDRE agency coordination, we deliver when failure isn't an option.
End-to-end support for federal healthcare mandates
Complete operationalization of NSA requirements including IDR entity management, determination processing, and federal reporting compliance.
Full-service independent dispute resolution entity support, from initial certification through ongoing operational excellence and audit readiness.
Continuous monitoring, interpretation, and implementation of evolving CMS mandates. We translate policy into practice seamlessly.
Multi-layered QA frameworks ensuring every determination meets federal standards. Automated validation with expert human oversight.
Purpose-built systems for healthcare compliance operations. Secure, scalable, and designed for the unique demands of federal programs.
Expert guidance on navigating complex CMS relationships, policy changes, and operational optimization for sustained compliance excellence.
Where we deliver operational excellence daily
Complete dispute resolution operations for surprise billing determinations, including arbitration management and federal portal integration.
Comprehensive data collection, validation, and submission for all CMS reporting requirements with full audit trail maintenance.
Complex stakeholder management balancing provider interests, payer requirements, and federal mandates simultaneously.
Real-time performance monitoring against CMS standards with predictive analytics for proactive issue resolution.
Rapid response protocols for new guidance, rule updates, and policy clarifications with seamless operational integration.
Continuous audit preparation with immediate response capabilities for federal inquiries, reviews, and compliance verification.
Let's build compliant, scalable solutions together