delgroupHealth Integrity’s auditing services target billing, quality, compliance, and benefit integrity review.

Our compliance auditing provides comprehensive reviews of drug plan and provider compliance that determine whether they have structures and processes are in place that meet government program requirements.

Benefit integrity auditing includes modules for health care providers, pharmacies, pharmacy benefit management (PBM) companies, and drug plans.

Our auditing services include:

  • Comprehensive reviews of organizations’ compliance to government program requirements.
  • Identifying appropriate corrective actions.