Government Program Management and Compliance
CMS’ complex regulations and requirements for Medicare and Medicaid are continuously changing. The Optum Government Program Management and Compliance solution helps managed care organizations stay informed of CMS regulations and rulings, understand how they affect their operations, evaluate current operations for non-compliance and new business opportunities, and gauge risk of non-compliance. Our experts can help review regulations and provide guidance, prepare and conduct mock and focused CMS audits as well as fraud, waste, and abuse audits, and develop corrective action plans.
OptumInsight partners with organizations to:
- Assess their current compliance with government regulations and requirements
- Identify the risks of non-compliance of current operations
- Understand how anticipated business activities are affected by these regulations and requirements
- Remediate business activities shown to be non-compliant
