Health

Catapult Consultants provides Information Technology and Health Initiatives support services to a number of healthcare focused organizations. Our healthcare consultants have on average twenty years of healthcare related experience. Catapult Consultants is currently assisting the Centers for Medicare & Medicaid Services in developing Audit Protocols to detect fraud, waste, and abuse in the Medicaid system. Catapult Consultants has a team of Medicaid and Audit subject matter experts that originate from the government sector and private industry supporting this effort.

Protecting the integrity of your healthcare dollar
Catapult Consultants performs fraud, waste, and abuse investigations, audits, and reviews for Medicaid and Medicare Practitioners throughout the Country. Catapult offers a full life-cycle of Program Integrity audit and investigation services, from Statistical Sampling and Analysis to Medical Necessity determinations.

Investigations and Audit
We conduct audits and investigations on Providers who may have over billed the Program. When Fraud is detected, we will provide referrals to the proper investigative branch such as the HHS Office of the Inspector General.

Statistical Sampling
Statistical specialists will pull a randomly valid sample from a universe of claims for audit and investigation. Once complete, the results will be extrapolated to the entire universe of claims to establish an overpayment.

Medical Necessity Review
Licensed RNs and Medical Practitioners will review billing practices for a practitioner to determine if services were medically necessary.

Provider Experience
Our Provider experience includes:

  • Home Health Agencies (HHA)
  • Hospice
  • Durable Medical Equipment
  • Hospitals
  • Dentists
  • Individual Practitioners
  • Transportation
  • Pharmacies

Staff Profile
Our staff includes program integrity experience from a variety of areas.

Program Integrity Experience
Catapult's staff includes former:
  • HHS Office of the Inspector General
  • State Medicaid Program Integrity Director
  • State Inspector General (IG)
  • State Medicaid Program Integrity investigation personnel
  • Centers for Medicare and Medicaid Services (CMS) Center for Medicaid and State Operations (CMSO)
Certifications and Credentials
Today's program integrity environment demands robust qualifications. Catapult's staff certifications include:
  • Certified Public Accountants (CPA)
  • Certified Internal Auditors (CIA)
  • Medical Doctors (MD)
  • Certified Professional Coders (CPC)
  • Registered Nurses (RN)
  • Doctorate Degree (PhD)

Healthcare Information Technology
We have supported organizations such as District of Columbia, Department of Health (DC DoH) and Mary's Center for Maternal and Child Care (Marys Center) both Health Resources and Services Administration (HRSA) grantees. The firm, in partnership with another company, assisted Marys Center to develop an online patient management system to collect patient data and to track services rendered and follow up care information. This entailed developing a secure application and database system that is HIPAA compliant and has the ability to communicate with other health systems using the Health Level 7 (HL-7) protocol. Catapult Consultants assisted DC DoH with a data gap analysis in which the findings will be used in the development of a new online system to track patient data.

Our experiences with health organizations also include developing custom web applications and databases. For the Health and Human Services Program Support Center (PSC), the firm developed a Section 508 compliant web-based registration system that enabled hundreds of users to register and purchase admission to an annual health conference. The system enabled PSC to save time and money and provided them real time data.

Catapult Consultants, LLC, 2300 Clarendon Blvd., Suite 1005, Arlington, VA 22201
Phone: 703.849.0960 | Fax: 703.852.2843 | Email: info@catapultconsultants.com
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