
Our diverse and talented group of professionals bring the experience and skill sets that successfully serve the needs of our clients. We are relentless in our quest to achieve customer satisfaction and consistency in providing quality service to all of our clients.
CCG offers:
Health Care Fraud, Waste and Abuse Detection and Analysis
CCG’s subject matter experts offer technical knowledge and experience in Medicare and Medicaid laws and regulations, health care insurance, billing and coding, claims processing and clinical review. We also conduct and manage internal reviews and external reviews, identify and prevent fraud, waste, and abuse, as well as support litigation and settlement negotiation. Our analysts and reviewers bring expertise from the government and private sectors in the medical, hospital, home health, durable medical equipment, pharmacy and prescription drug areas.
Clinical Record and/or Claim Review
CCG offers experienced medical reviewers with expertise in medical coding, claim review and clinical knowledge within Medicare and Medicaid. From a document review for medical necessity to a complex investigative review for fraud, waste and abuse, CCG’s talented staff will provide quality results. Our cost effective and methodical approach to identifying aberrant patterns of behavior in medical documentation will withstand strict scrutiny in any legal and or administrative proceeding.
Information Technology
CCG is a solution driven company capable of handling a wide range of technical challenges and creating efficiency for our clients. We combine strong technical analysis skills with extensive project management experiences.
Our staff has a proven track record for the management and delivery of activities and tasks across all software project management areas including- Scope Management, Time Management, Cost Management, Resource Management, Quality Management, Communication Management, Risk Management and Procurement Management. CCG can provide the mechanism for continuous process improvement using analysis score card metrics and best practices while ensuring client and user satisfaction with the final product.
Project Management
Our project management approach allows us to offer unparalleled on-site services. Whether you need temporary technical assistance or long-term project management, we can provide any or all of the following services to meet your particular needs: contractor coordination and supervision, contract management and project scope analysis, project risk analysis, budget and schedule management and project cost estimates.
Regulatory Compliance Development and Review
CCG offers assistance to the government and its contractors in analyzing and monitoring the structure and effectiveness of compliance programs and efforts in the following areas:
- Medicare and Medicaid program requirements
- Prescription drug programs and plans
- Federal and state privacy and security requirements
- HIPAA requirements
- FAR requirements and Sarbanes- Oxley rules