Health Care Statistical Audit

Health care industry providers or suppliers are undergoing unprecedented audit activity. Research Design Associates provides statistical expert witness support when statistical sampling techniques are used to estimate projections of overpayment by Medicare Recovery Audit Contractors (RAC) and Medicaid Integrity Contractors (MIC).

Research Design Associates assists attorneys in three ways:
  • Selection and execution of sampling methodology for voluntary review
  • Evaluation of auditors methodology and application of statistical processes
  • Preparation of statistical audit appeals
Contact Research Design Associates to learn more about Health Care Statistical Audit.
Medicare & Medicaid Services have contracted with entities known as Program Safeguard Contractors to conduct Medicare program integrity activities audits.

These audits must be conducted in accordance with state and federal guidelines. Health care providers and suppliers have turned to attorneys for help in defending themselves against inappropriate audit findings and demands for repayment.

When sampling and statistical inference are part of the audit, Research Design Associates can evaluate the challenge to support an accurate and valid outcome.