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SERVICES

Combs-Dyer Consulting provides specialized advisory services to organizations navigating Medicare policy, interoperability requirements, and strategies to prevent fraud, waste, and abuse in U.S. healthcare programs.

Develop an Interoperability Strategy

Combs-Dyer Consulting can help providers, payers and health IT platforms get ready for compliance with CMS-0057, the final rule from the Centers for Medicare & Medicaid Services (CMS) requiring all CMS-regulated payers build and operate a prior authorization API.

Provide Subject Matter Expertise

Combs-Dyer Consulting can provide subject matter expertise in techniques to fight fraud, waste, and abuse in U.S. healthcare programs.

Other

Combs-Dyer Consulting can help firms wanting to respond to CMS and/or state Medicaid agency Requests For Information (RFIs) and Requests For Proposals (RFPs) regarding:

  • prior authorization

  • Advanced Technology for Medical Review

  • other techniques to identify, stop, and prevent potential fraud and improper payments

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With decades of experience inside the Centers for Medicare & Medicaid Services, Combs-Dyer Consulting brings a deep understanding of how policy is developed, implemented, and enforced.

We provide practical, real-world insight to help organizations:

Understand complex CMS regulations

Prepare for compliance with interoperability requirements

Strengthen program integrity efforts

Navigate federal and state healthcare initiatives with confidence

WHY COMBS-DYER CONSULTING

HOW WE CAN WORK TOGETHER

Services can be tailored to meet your organization’s needs, including:

Advisory and strategic consulting

Project-based support

RFP and proposal development

Subject matter expertise for internal teams

Ongoing consulting engagements

Modern Glass Entrance

Let’s Discuss Your Needs

Get expert guidance on interoperability, compliance, and strategies to fight fraud, waste, and abuse in U.S. healthcare programs.

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