Consultant & Auditing Services
Who Are We
AICA provides consulting and auditing services that partners with health systems and payor clients. We provide our clients with the tools, services and advice they need to thrive in the current complex and uncertain pluralistic payment environment and achieve visionary, organizationally relevant results.
Our AICA has expertise in all aspects of population health, strategy, delivery system development, payment systems reform, workforce development and population health management support services, including peerless analytics and performance improvement. We are driven by our passion to help transform health care delivery, align financial incentives to support population health management and build the workforce needed as health care moves to value-based care.
Services We Offer
Healthcare Auditing /Medical Record Review Audit - The quality of today’s health care depends largely on the accuracy and completeness of the medical records generated by clinicians and other health care professionals. Fortunately, AICA offers third-party medical chart auditing services that are conducted by highly qualified health care professionals in a manner that’s affordable, transparent and, above all, efficient. We help providers and organizations operate more efficiently by identifying areas of weakness that can be corrected through training.
For medical record review operations, we provide medical necessity determination by means of our medical record reviewers and nurse auditors, who have a minimum of five years in medical record review or audit experience. Medical Record Review Audit also include Complete HEDIS Chases - Record Abstraction, Record Research, Record Overread.
Contract Negotiation - Both Payers, Providers and Clients can greatly benefits from using our services to negotiate terms before committing to a contract.
Home Healthcare Audit - AICA HHC audits and analyses provide an invaluable, proactive, detailed chart review process to facilitate accurate and appropriate DOH surveys. These areas can include identifying deficiencies in reimbursements, more robust protection against fraudulent claims, correction of poor coding habits and recovery of lost revenue due to insufficient documentation.
Healthcare Audit / Medical Record Review Audit
The quality of today’s health care depends largely on the accuracy and completeness of the medical records Medical Record Review Audit also include Complete HEDIS Chases - Record Abstraction, Record Research, Record Overread.