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PGS partners with healthcare providers and payers to strengthen revenue integrity, improve operational efficiency, and ensure compliance across the financial lifecycle. Our goal is to deliver sustainable improvements that protect revenue streams while maintaining the highest standards of patient trust.
At PGS, our healthcare consulting practice is built on CPA-led financial integrity — every service we provide is designed to strengthen controls, protect revenue, and ensure compliance across the healthcare financial lifecycle.
Healthcare consulting at PGS is led by a Board-Certified Fellow in both the American College of Healthcare Executives (ACHE) and the Healthcare Financial Management Association (HFMA). This leadership ensures that every engagement is grounded in recognized best practices and guided by proven healthcare finance expertise.
Our Healthcare Services Solutions include:
- Operational & Financial Assessments — Independent reviews of healthcare operations and financial practices designed to uncover inefficiencies, strengthen controls, and drive measurable performance improvements.
- Payment Accuracy Reviews & Recovery Services — Identify underpayments, recover lost revenue, and strengthen internal controls to minimize leakage and compliance risk.
- Accounts Payable Audits & Overpayments Recovery — Detailed audits of accounts payable processes to identify and recover overpayments,
- Internal Audit Services for Healthcare Organizations — Audits help providers and payers ensure compliance, strengthen governance, and protect revenue integrity. Our CPA-led audit team brings independence, rigor, and industry-specific expertise to every engagement.
Healthcare Internal Audit Services include:
- Revenue Cycle Audits — Independent evaluations of billing, claims, and collections processes to uncover revenue leakage, identify underpayments, and improve denial management.
- Payer Compliance Audits — Assess adherence to contract terms, coding requirements, and reimbursement rules, ensuring providers are both compliant and fairly compensated.
- HIPAA & Regulatory Audits — Reviews of policies and processes to ensure compliance with HIPAA and related healthcare regulations.
- Operational & Financial Controls Reviews — Detailed assessments of workflow, staffing, and technology to identify inefficiencies and control gaps.
- Accounts Payable & Payment Accuracy Audits — Verification of AP processes and reconciliation of payments to prevent overpayments, duplicate payments, and fraud risk.
- Risk Assessments — Comprehensive analysis of enterprise and departmental risks, including financial, operational, and compliance risks, with recommendations for mitigation strategies
PGS delivers healthcare services that combine financial rigor with deep sector expertise. Our work gives providers and payers confidence that their revenue, compliance, and operational practices are accurate, defensible, and optimized for performance, remediate control gaps, and safeguard against financial leakage.