Get ahead of problems, not just react to them.
Beyond preparing the reports and resolving the liens, Sparx helps clients strengthen the systems and strategies behind their MSP compliance. Our auditing and consulting services are for the client who wants to get ahead of problems rather than react to them.
Section 111 Compliance Auditing
Beginning October 11, 2025, CMS may enforce the MMSEA Section 111 $1,000 per day civil money penalty on recalcitrant primary payers who fail to properly report required claims. Reporting entities are now subject to a random quarterly CMS audit, and reporting errors that go unnoticed can quietly compound quarter after quarter. We audit your Section 111 reporting for accuracy and completeness, checking ICD coding, relatedness, and ORM/TPOC data against the true scope of each claim, so that you are audit-ready every quarter and not exposed by data you didn't know was wrong.
MSA Second Opinions
When you have an allocation in hand and want a second opinion, we provide an independent review. We'll tell you whether the projection is sound, whether it's inflated, and where there may be room to mitigate, giving you a confident basis to accept, challenge, or renegotiate the allocation in front of you.
MSP Compliance Consulting
For clients who want to build compliance into how they operate, we consult across the full MSP landscape, helping craft best practices and internal policies, refine ICD coding and relatedness workflows, develop submit-versus-non-submit strategy, verify Medicare entitlement and beneficiary status, and train staff on the requirements that keep claims compliant from intake through settlement. Whatever the MSP challenge, we help you put durable processes in place rather than solving the same problem twice.
Want to talk about your compliance? Request a consultation.
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