What We Do for Government Healthcare
- Support for the federal requirement that state Medicaid agencies conduct pre-enrollment and post-enrollment site visits of providers designated moderate or high risk, and that providers permit unannounced on-site inspections (42 CFR ยง455.432).
- Unannounced provider site visits for enrollment and revalidation.
- Operational status and location verification, with GPS location and date-time stamped photos.
- Program-integrity support for state agencies, managed care organizations and their contractors.
- Reporting to meet the client's SLA and metrics requirements.
Services in This Industry
- Medical Provider Site Visits: NCCI performs unannounced site visits to medical providers for enrollment, revalidation, and program-integrity screening, and delivers state-of-the-art, photo-documented reports.
- Government Program-Integrity Site Visits: NCCI performs unannounced site visits for government programs, such as provider and retailer verification, and delivers evidence-grade reports with GPS location and date-time stamped photos.
- Business Verification Inspections: A business verification inspection confirms, with photos and a written report, that the business actually exists and operates there.
What You Receive
An informative Site Visit Report with photos, findings,and evidence of the visit, delivered in the client's required format.
Frequently Asked Questions
Can NCCI route site visits across many states?
Yes. NCCI routes by geography across all 50 states and Puerto Rico.
Who orders these visits?
State Medicaid agencies, managed care organizations, enrollment vendors and program-integrity contractors.
NCCI Services (National Creditors Connection, Inc.) has been operating since 1992, with 1,000+ professionals in all 50 states and Puerto Rico. SOC 1 Type 2. Call Us Today (800) 300-0743.