Audit-Proof Your Operations. Protect Your Revenue.
Continuous, outsourced quality assurance and pre-audit diagnostics built exclusively for established healthcare providers. We insulate your license from state sanctions and stop Medicaid clawbacks before they happen.
The Cost of a Single Missing Signature
Systemic Medicaid Clawbacks
State Medicaid auditors aren't checking for intent; they are checking for binary compliance. A single missing 2-step TB progression or an unlinked EVV log can trigger retroactive financial clawbacks stretching back years.
Immediate Admissions Freezes
If a surprise state survey catches an employee in the field with a background check sequenced out of legal compliance, the state can instantly freeze your new client admissions—starving your growth pipeline.
Administrative Sanctions & Deficiencies
Forcing your busy internal HR staff to monitor ever-changing state codes results in oversight drift. When the state issues a Statement of Deficiencies, you are given a punishing 10-day window to respond or face license suspension.
Core Compliance Services
ComplyCore Consulting provides three integrated compliance services that audit‑proof your operations, protect Medicaid revenue, and keep your agency inspection‑ready year‑round.
Pre-Audit Mock Surveys & Diagnostics
An exhaustive stress-test of your operational data designed to expose hidden compliance liabilities before state inspectors walk through your door.
Deliverables: 15% randomized file sampling | state-code gap analysis | private executive risk scorecard
Crisis Audit Remediation & Defensive
Emergency response for agencies facing active state citations. We step into the chaos, take control of the bureaucracy, and secure your operating license.
Deliverables: CMS-2567 Deficiency Analysis | Rapid Plan of Correction (PoC) Authoring | Emergency Office Staff Training
ACTIVE SURVEY DEFENSE | CAP DEVELOPMENT | STATE CORRESPONDENCE MANAGEMENT
Your outsourced, off-site compliance department. We serve as a continuous shield, validating your operations every single month while your team focuses on scale.
We rebuild your agency’s skeletal infrastructure, from HR credentialing to field staff workflow. We replace loose processes with rigid, high-performance systems that run without owner intervention.
Deliverables: 100% Pre-Flight Employee Clearance - We Audit and greenlight all new hire personnel documentation before field placement to eliminate background-check sequencing violations | Rolling Plan of Care Reconciliations | Automated 60-Day Credential Alerts
Continuous Quality Assurance Retainer (Fractional QA)
Test Your Active Risk Profile
Don't wait for a surprise state survey to find out if your compliance is slipping. Securely drop just 3 active caregiver files and 3 consumer charts into our encrypted vault. We will run a baseline, state-level blind audit completely free. If you're 100% clean, enjoy the peace of mind. If we find critical vulnerabilities, we'll show you exactly how to close them.