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Case Study

Program Integrity Audit

Program Integrity Audit

Public Consulting Group
Pages 2 Pages

THE CHALLENGE In 2010, NC DMA began a partnership with PCG to expand and improve upon its program integrity efforts in behavioral health and other home and community-based services. DMA had a backlog of hundreds of complaints against providers that had not been investigated. This backlog was comprised of providers suspected to have received overpayments of greater than $100 million. Short on resources, DMA turned to PCG to expand the p

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