Healthcare Services

Shada Consulting offers a wide platform of investigative services to help you achieve your specific goals for benefit integrity contracting. 

 Our consultants are skilled in identifying all layers of fraud, waste, and abuse. This means that whether your goals include collecting overpayments through wasteful coding, or educating providers against abusive billing practices, or identifying outright fraud for law enforcement referrals, you will have the right personnel to meet these goals by using a Shada consultant for your contract.

• Medicare/Medicaid

  Shada Consulting Services offers quality investigators with decades of experience in applying Medicare and Medicaid regulations. 

  Well versed with fraud, waste, and abuse, know with confidence that a consultant from Shada will have the necessary background to help Medicare and Medicaid contractors review complaints and make next-step decisions applying the appropriate rules and guidelines. Nowhere in the professional contracting world will you find more knowledgeable and experienced consultants for Medicare and Medicaid investigations.

• Program Evaluations

  Shada Consulting Services offers experienced consultants for a number of different program evaluations, including Medicare, Medicaid, and federal Workers Compensation programs. 

   With additional varied backgrounds in accounting, nursing and legal fields, your program evaluation needs will be met with a knowledgeable approach and with consultants who have been in the trenches just like you.

• Data Review

  Need an expert in data analysis to review aspects of your program? 

  Shada Consulting offers data analysts with backgrounds in Microsoft Access and Excel who can help detect aberrancies in claims data, and who can support case development. A Shada consultant can perform in-depth evaluation and analysis of complex cases for you with a knowledgeable approach and quality workmanship.

• Interviews

  Do you need individuals experienced in the art of the interview? 

  You’ve come to the right place with Shada Consulting. Shada consultants bring years of experience in interviewing program beneficiaries to support case development. A Shada consultant will get to the heart of the matter and will provide a quality report of the interview that will stand up to any federal or state court scrutiny. Shada’s consultants are adept at interviewing individuals regarding sensitive issues, and hold matters of privacy in the strictest of confidence. With former law enforcement backgrounds, there is no matter or area of investigation that intimidates a Shada consultant.

• Expert Analysis & Reporting

  Along with any expert comes a quality analysis and a report of that analysis. 

  Shada consultants are accustomed to providing documentation to substantiate any expert analysis or report. And the level of documentation you will receive should you need this type of service will be world class. Shada consultants provide analyses and reports that will sustain any federal or state court scrutiny and cross-examination.

• Hearing & Appeals Support

  Shada Consulting Services is in your fight with you for the long haul. 

  You will have the support and services available for any follow-up hearings or appeals necessary. Consultants with former law enforcement experience are well versed in trial testimony and what it takes to support decisions that are under court review.

• Support & Resources

  We've got you covered.

  In short, Shada Consulting can offer you all the support and resources necessary to investigate complaints, perform program evaluations, conduct data analysis, provide interview expertise, follow-up with expert reporting, and support your hearings and appeals process. Our consultants share your passion for maintaining the integrity of your program and safeguarding it from fraud, waste, and abusive practices. Know with certainty that a Shada consultant will be in the trenches with you for the long haul.