We bridge the gap between regulatory complexity and modern execution — at every level of your organization.

Most reporting teams are under-resourced for the complexity they face. We provide the expert capacity, proven methodology, and modern tooling to close that gap — whether you need hands-on filing support, strategic guidance, or a team that can build what your current tools cannot. Our work is practical, precise, and built for the real regulatory environment your organization operates in.

WHAT WE DO

Six Service Areas Built for Healthcare Reporting

01
Compliance

MLR Compliance & Filing Support

01 / 06

End-to-end support for medical loss ratio calculations, data validation, CMS submission, and audit-ready documentation. We work directly with your actuarial and finance teams to ensure every component of your MLR filing meets regulatory standards — and can withstand scrutiny.

WHO THIS IS FOR:

Health plans and insurance carriers subject to ACA MLR requirements, particularly those with multi-state operations, complex creditable coverage populations, or prior audit findings.

Accurate, audit-defensible MLR ratio calculations
On-time CMS and state regulatory submissions
Documentation packages that hold up under review
02
Medicaid

Medicaid Managed Care Regulatory Reporting

02 / 06

Comprehensive guidance on encounter data submission, managed care reporting requirements, CHIP compliance, and state-specific regulatory obligations. We help MCOs navigate the full complexity of Medicaid reporting across CMS and state agency requirements.

WHO THIS IS FOR:

Medicaid managed care organizations, CHIP plans, and integrated care entities managing complex reporting obligations across multiple state contracts.

Clean encounter data with reduced rejection rates
State-specific reporting compliance across all contracts
Streamlined submission workflows and documentation
03
Cost Reporting

Cost Report Preparation & Review

03 / 06

Rigorous preparation and independent review of Medicare and Medicaid cost reports, including hospital cost reports, SNF reports, and health plan cost reporting obligations. We ensure accurate cost allocations, proper statistical bases, and defensible methodologies.

WHO THIS IS FOR:

Hospitals, skilled nursing facilities, health plans, and provider-sponsored organizations filing Medicare or Medicaid cost reports — especially those with complex structures or recent ownership changes.

Accurate cost allocations with documented statistical bases
Reduced audit exposure and settlement risk
Independent review layer before submission
04
AI & Technology

AI & Automation Implementation for Reporting Teams

04 / 06

Safe, compliance-conscious deployment of AI tools and automation for healthcare reporting workflows. We help teams move beyond spreadsheets without introducing regulatory risk — building validated tools for MLR calculation, encounter data QA, SQL-based reporting, and more.

WHO THIS IS FOR:

Reporting and compliance teams looking to modernize operations, reduce manual workload, and leverage AI without the risk of implementing unvalidated tools in regulated contexts.

Reduced manual effort through validated automation
AI-enabled QA and validation workflows
Faster turnaround without compliance trade-offs
05
Education

Training & Staff Development

05 / 06

Structured training programs designed for healthcare reporting professionals at every level — from onboarding new analysts to building executive literacy around regulatory requirements and AI. Programs are custom-built around your actual reporting portfolio and team gaps.

WHO THIS IS FOR:

Organizations onboarding new reporting staff, teams transitioning to new systems or methodologies, and executives who need working knowledge of MLR, Medicaid, and cost reporting to lead effectively.

Faster onboarding and reduced time-to-competency
Team self-sufficiency on core reporting functions
Consistent methodology and institutional knowledge retention
06
Audit Support

Audit Readiness & Remediation

06 / 06

Pre-audit assessments, gap identification, documentation remediation, and representation support for CMS desk reviews, RAC audits, state regulatory examinations, and internal compliance reviews. We find the problems before auditors do — and fix them.

WHO THIS IS FOR:

Organizations facing scheduled or anticipated CMS audits, state contract reviews, or internal compliance assessments. Particularly valuable for plans with prior findings or recent operational changes.

Gaps identified and remediated before audit commencement
Complete, defensible documentation packages
Expert representation and response support

Schedule a Discovery Call

Select a time below for a 30-minute introductory call with Marcus Sterling to discuss your regulatory reporting obligations and how we can support you.