**What services does Prognosis Consulting offer?**

We specialize in healthcare compliance and revenue cycle advisory services. Our primary offerings include:

1. OIG Work Plan Compliance Audit: We provide risk-tiered findings aligned with OIG focus areas and remediation guidance.
2. LEIE Exclusion Screening (OIG): Our services include screening to reduce the risk of excluded individuals or vendors, with support for any necessary follow-up actions.
3. Billing Accuracy & Documentation Risk Review: We identify any discrepancies between documentation and billing that could lead to denials and recoupments.
4. AR / Revenue Cycle Performance Assessment: Our team conducts operational and compliance-informed assessments of AR workflow and potential leakage.

Our primary goal is to assist independent healthcare providers in identifying and remedying billing errors, documentation gaps, and compliance risks before they result in audits, denials, or recoupments.

**Who are Prognosis Consulting's primary audiences?**

Our services are primarily targeted towards operators, administrators, owners, and practice managers of:

- Hospice agencies
- Home health agencies
- Skilled nursing facilities (SNFs)
- Independent medical practices
- Community-based behavioral / mental health providers

**How can I request a quote or an audit from Prognosis Consulting?**

To request a quote or an audit, please visit our website at https://prognosisconsulting.com. There, you will find a form where you can provide your details and specify your requirements. We will then follow up with you as soon as possible.

**What differentiates Prognosis Consulting from other healthcare compliance advisory firms?**

We stand out due to our practitioner-level experience, proprietary internal audit tooling, and risk-tiered findings with estimated dollar exposure and prioritized remediation steps. Our unique LEIE screening process employs phonetic and fuzzy matching to reduce false negatives. 

**What is the geographical area that Prognosis Consulting serves?**

While we are based in Atlanta, Georgia, we primarily serve independent healthcare operators within the state. However, remote support may be considered depending on the scope of the engagement.

We screen your workforce, vendors, and contractors against the OIG List of Excluded Individuals and Entities (LEIE) — 83,000+ records — using NPI, SSN, and phonetic matching to catch exclusions standard searches miss. Delivered as a branded compliance certificate. One-time screening starts at $149 (up to 25 individuals). Monthly monitoring available. Required for any organization billing Medicare or Medicaid.

LEIE Exclusion Screening

OIG Work Plan Compliance Audit
We audit your billing and documentation against the OIG's active Work Plan priorities for your specialty — identifying high-risk CPT codes, documentation gaps, and compliance exposures before they become findings. Includes written report with risk-tiered findings, dollar exposure estimates, and a prioritized remediation checklist. Engagements from $2,500. Available for medical practices, hospice, home health, SNFs, and mental health providers.

OIG Work Plan Compliance Audit

We deliver tailored compliance and RCM solutions for small medical providers.

Prognosis Consulting

About Us

Products & Services

LEIE Exclusion Screening

OIG Work Plan Compliance Audit

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