Business Details
18 Years
experience
Government Healthcare Consulting Experts
Established in 2008, Chase Consulting Group specializes in government healthcare consulting, focusing on program integrity for Medicare and Medicaid. Our expertise includes managing national contracts through audits, reviews, and investigative efforts to protect federal healthcare funds. With a team of seasoned professionals and a network of consultants, we deliver tailored solutions to support compliance and operational efficiency. Our credentials include a CMS-approved internal accounting system and successful completion of the SBA 8(a) program in 2018. We bring decades of combined experience in fraud, waste, and abuse prevention, serving clients nationwide with a commitment to quality, innovation, and integrity.Our staff includes experts from Medicaid Integrity Contractors, HHS offices, and legal entities, ensuring deep domain knowledge. We collaborate with a network of 250 consultants, many holding advanced degrees, to address complex healthcare challenges. Our mission drives every project, emphasizing transparency, professionalism, and excellence in safeguarding healthcare programs. This experience positions us as a trusted partner for government agencies seeking specialized expertise.
Services
Program Management
Medicare Audits
Medicaid Compliance
Fraud Investigations
Data Analysis
Legal Research
Administrative Appeals
Statistical Analysis
Regulatory Compliance
Program Integrity Consulting
Details
- Year established: 2008
Highlights and features
- We maintain a CMS-approved internal accounting system.
- Our team includes professionals with Medicaid Integrity Contract experience.
- We graduated from the SBA 8(a) program in 2018.
- We offer nationwide service to government agencies.
- Our consultants hold advanced degrees and certifications.
Associations and certifications
- SBA 8(a) Program
- CMS-Approved Internal Accounting System
Services
Program Integrity Consulting
Our program integrity consulting safeguards Medicare/Medicaid funds through audits, fraud detection, and compliance reviews. We coordinate nationwide investigations and develop review protocols to ensure regulatory adherence. With CMS-approved systems and SBA 8(a) expertise, we protect federal healthcare resources while maintaining operational transparency for government clients.
Medicaid Fraud Investigations
Specialized Medicaid fraud investigations identify financial abuse through data analysis, field audits, and evidence collection. Our team leverages experience from Medicaid Fraud Control Units and legal research to recover misused funds. We collaborate with law enforcement for enforcement actions while maintaining strict compliance with federal audit standards.
Data Analysis
We perform comprehensive data mining and statistical analysis on healthcare claims to detect anomalies. Our methods include predictive modeling and trend identification to uncover systemic issues. With 250+ consultants, we process large datasets to support enforcement actions while ensuring HIPAA compliance and data integrity throughout the audit process.
Auditing Services
Our auditing services examine Medicare/Medicaid claims through medical coding analysis and payment pattern reviews. We identify improper payments using CMS-certified protocols and develop corrective action plans. With experience from the HHS Office of Inspector General, we ensure accurate fund allocation while providing actionable recommendations for program improvement.
Legal Compliance
We provide legal research and regulatory compliance support for healthcare programs. Our services include interpreting CMS guidelines, preparing administrative appeals, and ensuring adherence to federal requirements. With backgrounds in Medicaid State Agencies and HHS legal offices, we offer actionable compliance strategies that balance regulatory needs with operational efficiency.
Questions
What healthcare programs do you specialize in?
We focus exclusively on Medicare and Medicaid program integrity services, including fraud detection and compliance reviews for federal and state government agencies.
Do you have government contract experience?
Yes, we've served as both prime contractor and subcontractor for CMS and other federal agencies since 2008, managing large-scale program integrity contracts.
Are you certified by any federal programs?
We maintain a CMS-approved internal accounting system and successfully completed the SBA 8(a) certification program in 2018.
Do you operate nationwide?
Yes, we serve clients across all 50 states from our Alexandria headquarters, supporting government agencies and contractors nationwide.
What expertise does your team have?
Our staff includes former CMS employees, Medicaid Fraud Control Unit members, and attorneys with decades of combined healthcare compliance experience.
