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POST-PAYMENT MEDICAL REVIEW
PRE-PAYMENT MEDICAL REVIEW
PAYMENT SUSPENSION
OVERPAYMENT
REVOCATION OF BILLING PRIVILEGES
UPIC AUDITS & INVESTIGATIONS
GOVERNMENT-IMPLEMENTED ADMINISTRATIVE ACTIONS
MEDICAL REVIEW
CMS APPEALS & REBUTTALS
CONSULTING AND REPRESENTATION IN CIVIL & CRIMINAL INVESTIGATIONS
DEVELOP STANDARD OPERATING PROCEDURES
ENSURE LEGAL & REGULATORY COMPLIANCE
IMPLEMENT COLLABORATIVE POLICE REFORM
EVALUATE PROFESSIONAL STANDARDS &
INTERNAL AFFAIRS INVESTIGATIONS
CONSULTING
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The Justice Group Consulting is a team of highly experienced experts and professionals with over 100 years of combined experience spanning the governmental, legal, and law enforcement sectors. The Justice Group was founded and built upon our core values of integrity, courage, and justice. We provide consulting and support solutions to law enforcement and healthcare providers as well as active assailant threat assessments and training to protect your most important assets. Our goal is to consult, support, and protect your business from potentially devastating actions while advancing your goals.
With over 100 years of experience in our practice areas of law enforcement, compliance, and crisis response, we work to determine your risks, vulnerabilities, and areas of concern to formulate a customized plan for your company.
Our team conducts a thorough investigation to point out critical weaknesses and business disruptors. Our audit assesses your company’s needs and establishes an effective strategy to correct missteps while planning for the future.
A solid strategy is the best defense and offense for the effective operation of any business. We develop and implement policies and procedures, training and monitoring programs, and recommend mitigation strategies for effective change.
Experience matters. With over 100 years of experience across our team, we are able to effectively investigate, identify, and correct actions that could be catastrophic to your business. Our team consists of individuals who have proven track records in the area of law enforcement, forensic accounting, mental health, and the law. We are committed to protecting and defending our clients while furthering the cause of justice.
Tom Larned and The Justice Group have batted a thousand. Every one of their recommendations has been absolutely right on. Tom is an experienced problem-solver with exceptional insight regarding the challenges facing law enforcement organizations today. I have relied on Tom’s assessments and mentorship in making positive change to our organization allowing us to build trust and better serve the community.
Chief Derrick W. DiggsFort Myers Police Department
The Justice Group has helped cities to improve public trust and safety by objectively gathering facts and making sound recommendations regarding police reform.
Saeed KazemiFort Myers City Manager
The Justice Group plays a central role in our payment integrity operations. Over the past 3 years, they have been very proactive in working with our compliance officer and the operations teams to ensure that we proactively evaluated and analyzed any Medicaid payment issues. Not only are they highly skilled in their administrative and investigative approaches, but they are also respected by the team and our state regulators.
John ChomeauCEO, Vivida Health – Florida Medicaid MCO
The Justice Group has delivered expert knowledge in the prevention, detection, and resolution of potential fraud, waste, and abuse in our healthcare program. Everyone with The Justice Group is extremely professional and with the help of their expertise we have been able to stand up and run a successful SIU program.
Tamar GorenyukHealth Plan Chief Compliance & Privacy Officer, Lee Health
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Our professionals have decades of experience with proven results.
