The Guidehouse Payer practice brings together compliance, operational, audit, clinical, coding, data analytics, and system professionals who have extensive experience in performing Commercial and Government program projects and who have supported payer executives and their Counsel with regulatory compliance matters.
The Guidehouse Payer practice has worked with numerous health plans to perform annual risk assessments, develop and implement Corporate and Government Programs compliance programs, perform ongoing monitoring and auditing, and assess the effectiveness of all facets of a compliance program and health plan operations. Our services include:
Compliance and Audit
Operations and Payment Compliance