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SERVICES Retrospective PBM Audits PBM Contract Review and Consulting Fraud, Waste & Abuse Identification Prospective PBM Audits Desk & On-Site Pharmacy Audits Litigation Recovery Expert Witness Testimony

We cut our teeth performing fraud audits for state agencies in Pennsylvania and then moved rapidly across the nation. Our case documentation, preparation of data and proper reporting is part of our daily procedures and the reason we have never lost a court case. We use proper procedures from the beginning of every audit no matter how small or how big. MHA has automated as much of the process as possible without compromising the ability of our auditors to keep their "eyes" on the data.

Examples of the types of audits we use for fraud identification:

• Probe audits on a sample of a limited number of claims
• Statistically valid random sample audits
• Claims audits on 100% of claims
• External beneficiary confirmation of services audits
• Medical necessity audits

MHA can offer you an experienced team with demonstrable fraud, abuse and recovery recoupment, cutting edge proprietary data mining software and a strong commitment to providing our customers with exceptional service and innovative solutions.