Government Contractors
Enabling contractors to manage high volumes with scalable, automation-driven medical review.
URAC-accredited in IRO and HUM, FHAS equips federal contractors with clinician-led, technology-enabled medical review, utilization management, and appeals support. Our procurement-ready solutions integrate seamlessly with contractor operations, producing audit-ready determinations that withstand oversight and scale to meet government program demands.
Why Government Contractors
Rely on FHAS
Federal and State contractors face constant pressure to balance speed, compliance, and cost in delivering program support. FHAS provides accredited, automation-enabled clinical review services that help contractors meet performance metrics, reduce risk exposure, and deliver outcomes federal agencies can trust.
- Strengthen contract performance with timely, defensible reviews
- Reduce improper payments and mitigate audit risk
- Expand surge capacity with automation-driven workflows
- Access licensed physicians and certified nurse coders nationwide
- Deliver compliance-ready documentation aligned with CMS and federal standards
Comprehensive Services for Federal Plans
Medical Review
Scalable, accredited reviews for compliance and efficiency
FHAS’ URAC-accredited HUM and IRO reviews, including utilization management, prior authorization, and other non-appeal reviews, ensure optimal healthcare delivery for commercial plans. Leverage expert ICD-10 coding and payment policy reviews of high-cost procedures, reducing improper payments, building efficiency, and achieving strong outcomes across all phases of care with evidence-based decisions.
Appeals Management
Prompt, impartial handling of all appeal across levels of care
As a URAC-accredited IRO, FHAS provides appeals services, utilizing certified nurse coders and licensed physicians to manage 1st- and 2nd-level internal reviews, plus 3rd-level external appeals. For denied claims and prior authorizations in commercial plans, secure efficient resolutions that minimize disputes and uphold fairness.
Provider Outreach & Education
Utilizing CMS’s Targeted Probe & Educate (TPE) program
Minimize claim errors through personalized education. Identify high-error providers and deliver 1:1 guidance on billing and best practices, improving accuracy, and reducing coding risks.
Solving the Most Pressing Challenges for Government Contractors
Challenge 1:
Contract & Compliance Metrics
Contractors are measured against strict performance standards for timeliness, accuracy, and compliance. Falling short can threaten contract renewals and expose teams to corrective action.
FHAS Solution
Our URAC-accredited reviews combine clinician expertise with automation-enabled workflows to deliver timely, defensible determinations. This ensures contractors consistently meet or exceed performance benchmarks while safeguarding federal program integrity.
Challenge 2:
High Volumes & Surge Demands
Contractors often face sudden spikes in case volume from appeals surges, program changes, or policy shifts. Without scalable resources, backlogs and delays can quickly mount.
FHAS Solution
FHAS provides surge-ready capacity with nationwide physician reviewers, certified coders, and tech-enabled intake systems. This scalability keeps contractors on schedule even under peak demand, reducing operational strain and protecting contract performance.
Challenge 3:
Audit Readiness & Risk Exposure
Federal contractors operate under constant audit scrutiny, with every determination subject to challenge. Weak documentation or inconsistent processes can jeopardize compliance and create financial exposure.
FHAS Solution
FHAS delivers procurement-aligned, audit-ready documentation for every case. With dual URAC accreditation (IRO & HUM) and secure, trackable workflows, contractors gain a defensible record that withstands oversight while reducing risk of penalties or clawbacks
What Sets FHAS Apart
Dual URAC Accreditations
URAC-accredited in both IRO and HUM, proving clinical and utilization review excellence.
Clinician-Led Review
Licensed physicians and certified nurse coders perform evidence-based, defensible medical determinations every time.
Expert Coding Analysis
Deep ICD-10 and payment-policy expertise that minimizes errors and prevents improper payments.
Scalable Solutions
Flexible operations and teams scale seamlessly for commercial, self-insured, and TPA clients.
Technology-Forward
AI-augmented analytics, workflow automation, and secure cloud platforms for faster, data-driven decisions.
Value-Based Fee Structure
Simple fixed-price model aligns incentives—consistent value, no billing surprises, and continuous performance optimization.
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