More than just your traditional "billing agent"

Medicaid Consulting & Audit Services for School Districts

Our Medicaid consulting services include an in-depth review of staff and departmental costs claimed, as well as audit preparedness and compliance monitoring. 

Medicaid Consulting
Medicaid Consulting services

Validate Service Histories and Personnel Costs

School districts need an experienced partner to assist them in the management of the intricacies of conformance with state and federal Medicaid regulations dealing with billing practices. One of the primary reasons why school districts miss opportunities to maximize their reimbursement potential relates to a lack of service documentation and proper cost reporting. 

Audit services

Mitigate Audit Findings With Go Solutions

Go Solutions audit services highlight areas of deficiency that may require closer examination and, potentially, corrective action. With our guidance, your school district can conduct regular self-audits which can be utilized as a means for achieving continuous improvement, maximizing compliance and reimbursement outcomes for your Medicaid program. 

Medicaid Consulting
Corrective action support

Corrective Action Plan (CAP) Support After a Medicaid AuditMedicaid Audit A thorough review conducted by federal or state agencies to ensure that Medicaid billing practices comply with all applicable regulations.

When a Medicaid audit ends with findings, districts must respond to the auditors and submit a corrective action plan (CAP) that shows how they will prevent the same findings in the future. A low score in any category can also trigger a reaudit.

Our Medicaid consultants work hand in hand with your district to:

  • Review each audit finding and identify its root cause
  • Gather supporting documentation and respond within the auditor’s deadline
  • Build a corrective action plan with clear steps, owners, and timelines
  • Monitor claims after the CAP is in place so the same issues don’t return

Resources

3 Ways to Ensure You’re Prepared for a Future Medicaid Audit
At Go Solutions, our experienced staff routinely helps districts perform risk assessments to define program effectiveness. This allows them to understand where they are now and where they can be, with respect to both compliance and reimbursement potential.
School Based MedicaidSchool Based Medicaid A program that allows schools to claim Medicaid reimbursement for providing certain health-related services to Medicaid-eligible students. Self Audit Checklist​
One way to prepare for an audit is to conduct an internal self-audit regularly. The below self-audit checklist will highlight areas of deficiency that may require closer examination and, potentially, corrective action.
Get To Know Go Solutions
From intervention to reimbursement and everything in-between, Go Solutions offers an all-in-one, total solution for your Special Education and Medicaid Reimbursement needs.

From 504, IEP to Medicaid reimbursementMedicaid Reimbursement The process of receiving payment from Medicaid for services provided to eligible students as part of a school-based program. and everything in between

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