News

"The Department of Justice, the Department of State, and VA initially uncovered rampant fraud perpetrated by various medical doctors and pharmacies in Panama making claims to the VA’s Foreign Medical Program (FMP), which supports vital medical care for U.S. veterans living abroad. The agencies found evidence that Panamanian doctors and pharmacies were submitting false and [...]

Amenity Consulting, LLC, Achieves HITRUST Risk-based, 2-year Certification Demonstrating the Highest Level of Information Protection Assurance HITRUST Risk-based, 2-year Certification validates Amenity Consulting is committed to strong cybersecurity and protecting sensitive data.   Columbia, SC, 12/04/23 – Amenity Consulting, a leading provider of customized solutions for healthcare fraud, waste and abuse monitoring and program integrity, [...]

HITRUST Risked-based, 2-year (r2) Certification Press Release FOR IMMEDIATE RELEASE Amenity Consulting, LLC, Achieves HITRUST Risk-based, 2-year Certification to Manage Risk, Improve Security Posture, and Meet Compliance Requirements HITRUST Risk-based, 2-year Certification validates Amenity Consulting is committed to meeting key regulations and protecting sensitive information Content: Columbia, SC, 5/16/22 – Amenity Consulting, a leading provider [...]

On August 3, 2018 the DOJ announced coordinated effort to resolve allegations of false claims resulting in a $65 million-dollar settlement for Medicare. Amenity was retained as a subject matter expert and opinion witness for the DOJ regarding allegations involving up-coding, inpatient admissions not medically necessary in the inpatient setting, and falsification of information concerning [...]

Amenity has been engaged for retrospective FWA (Fraud, Waste, and Abuse) services for a State Coordinated Care Organization (CCO). CCOs are networks of providers who agree to work together to serve their local State Health Plan (Medicaid) communities receiving health care coverage. The focus of a CCO is on the management of chronic conditions and [...]

Amenity is engaged to provide PERM audits for a managed Medicaid plan for state reporting requirements. Medicaid participates in CMS Payment Error Rate Measurement annual reviews to identify susceptible, improper, and at risk fee-for-service payments. The estimate of improper payments produces error rates. These error rates are a measurement of payments made that did not [...]

Amenity in implementation of proprietary retrospective data mining and auditing services for Florida Medicaid managed care plan.

Large national Medicare Advantage plan engages Amenity for data mining and retrospective auditing.