Strengthening Healthcare Payment Integrity
Helping healthcare organizations identify, resolve, and prevent Medicare and Medicaid credit balances while supporting CMS program integrity requirements.
Healthcare Payment Integrity Partners LLC is a consulting firm focused on improving payment accuracy across Medicare and Medicaid programs. We work with healthcare providers, managed care organizations, and public entities to identify credit balances, resolve overpayments in a compliant manner, and implement preventive controls that reduce future improper payments.
Our approach supports responsible stewardship of public healthcare funds, reduces audit risk, and strengthens financial transparency across healthcare operations.
Our Approach
- Compliance-focused
- Data-driven
- Collaborative
- Aligned with CMS program integrity goals
Our Core Values
- Independent & Objective Guidance
- Financial Transparency Support
- Practical, Actionable Solutions
- Strengthen Long-Term Compliance Readiness
- Improve Payment Accuracy Across the Revenue Cycle
- Strengthen Long-Term Compliance Readiness
- Promote Responsible Stewardship of Healthcare Funds
About Us
Our Mission
To strengthen the integrity of public and commercial healthcare financing by helping organizations ensure accurate payments, regulatory compliance, and sustainable financial practices.
We achieve this by providing actionable insights, streamlined processes, and practical solutions that help organizations reduce errors, enhance accountability, and promote long-term financial resilience in the healthcare sector.
Who We Are
Healthcare Payment Integrity Partners LLC is a healthcare consulting firm specializing in credit balance identification, overpayment resolution, and preventive process improvement. We align our services with CMS guidance, Medicare Administrative Contractor requirements, and industry best practices.
We focus on practical, compliant solutions that help organizations meet regulatory expectations while improving internal controls and operational efficiency.
Dedicated to Healthcare Excellence
Payment Integrity
We support healthcare organizations in identifying and resolving improper payments while strengthening accuracy across public and commercial programs.
Compliance & Oversight
Our work aligns with CMS, Medicare, and Medicaid requirements, helping organizations remain audit-ready and compliant at every stage.
Process Improvement
By reviewing workflows and control gaps, we help reduce recurring credit balances and improve long-term financial performance.
Empowering Healthcare Organizations with Smarter Solutions
You focus on delivering exceptional care to patients, while we focus on optimizing your operations, compliance, and financial performance. Our goal is to ensure that every process — from administrative workflows to revenue cycle management — runs efficiently, accurately, and in full compliance with regulatory standards.
We support hospitals, health systems, medical groups, payers, and healthcare service organizations in achieving operational excellence and sustainable growth. By leveraging advanced technology, process automation, and industry expertise, we help organizations streamline workflows, reduce errors, and maximize outcomes across clinical, administrative, and financial processes. Our people-first, technology-driven approach ensures scalable, results-focused solutions that deliver measurable improvements and long-term value.
Payment Integrity & Credit Balance Services
Credit Balance Identification
- Review and analysis of credit balances across patient and payer accounts
- Root-cause identification of overpayments and posting errors
Overpayment Resolution & Refund Support
- CMS-compliant overpayment identification and resolution
- Medicare and Medicaid refund support
- Documentation aligned with regulatory requirements
Preventive Controls & Process Improvement
- Review of revenue cycle workflows
- Identification of control gaps contributing to recurring credit balances
- Implementation of preventive measures to reduce future improper payments
Audit Readiness & Compliance Support
- Internal audit preparation
- Support for CMS, MAC, and Medicaid reviews
- Staff education and process documentation
Government & Public Sector Services
Healthcare Payment Integrity Partners LLC supports federal, state, and local healthcare programs by improving payment accuracy and compliance with Medicare and Medicaid requirements.
Our services align with:
- CMS Program Integrity initiatives
- Improper Payments Information Act (IPIA/IPERA) objectives
- Medicaid payment accuracy and recovery efforts
Core Capabilities
- Credit balance and overpayment analysis
- Payment accuracy reviews
- Preventive compliance controls
- Audit support and reporting
Industries Served
- Hospitals and health systems
- Federally Qualified Health Centers (FQHCs)
- Physician groups and clinics
- Medicaid Managed Care Organizations
- Public healthcare entities
Contact Us
Email :
info@healthcarepip.com
Phone :
(678) 271-5005