Established in 1992, NCCI’s services continue to deliver nationwide actionable data through our proprietary platform to create the highest return on investment for our clients. Like our clients, we care greatly about headline, reputational, compliance, and regulatory risk. We are licensed, bonded, and certified. We partner with and collaborate with our clients, never taking a one-size fits all approach
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Government Healthcare
Provider Enrollment • Oversight • Program Integrity
Supporting provider enrollment, revalidation, screening, and oversight initiatives through nationwide site verification, documentation, and reporting services.
Nationwide
Coverage
Geo-Tagged
Documentation
Compliance
Reporting
SOC Secure
Environment
Core Verification Services
Services we deliver:
Who We Support
Supporting provider enrollment, program integrity initiatives, fraud prevention efforts, healthcare oversight activities, and nationwide field verification services.
Supporting government healthcare agencies, contractors, and oversight programs with nationwide provider validation, documented field evidence, and independent verification services.
Support provider enrollment, revalidation, and location validation across state Medicaid programs.
Confirm provider location accuracy and operational status through independent field verification.
Support provider validation initiatives, enrollment reviews, and healthcare program oversight activities.
Extend field verification capabilities supporting healthcare program operations and oversight.
Supporting government program integrity through provider enrollment verification, revalidation, site visits, screening, compliance documentation, and nationwide field verification.
Required under 42 CFR § 455.432 before moderate and high-risk providers may participate in Medicaid programs. Supports provider screening and enrollment verification activities.
Ongoing unannounced verification of enrolled providers to confirm continued operational status, compliance, and program participation requirements.
Nationwide field inspection capacity supporting 5-year provider revalidation cycles, enrollment surges, and oversight initiatives.
Specialized verification protocols for DMEPOS, HHA, SNF, Ambulance, IDTF, Personal Care, HCBS, and Behavioral Health providers.
Geo-tagged photography, structured inspection reports, operational observations, and standardized documentation formatted for agency review.
Coverage across all 50 states and territories through NCCI's nationwide network of field verification specialists.
Regulatory References
42 CFR § 455.432 • 42 CFR § 455.414 • 42 CFR § 455.410 • CMS Provider Enrollment Oversight • OIG Provider Screening Initiatives
Required site visits are not optional.
Failure to complete verification requirements can create compliance risk.
Provider screening programs are being examined.
Oversight findings can expose gaps in enrollment and verification activities.
Provider data changes faster than records.
Revalidation cycles often reveal outdated or inaccurate provider information.
The cost of inaction can be significant.
Program integrity failures may impact funding, oversight, and contractual performance.
OPERATIONAL STATUS VERIFICATION
Provider enrollment records do not always reflect current site conditions. Independent site verification helps identify non-operational provider locations, enrollment discrepancies, and program integrity risks before they impact oversight activities, revalidation efforts, or compliance reviews.
Verified
Operational. Accessible. Confirmed.
Confirms provider sites are operational, accessible, and consistent with enrollment records, supporting revalidation, oversight, and compliance activities.
Program Integrity Benefits
Accurate provider location information supports provider enrollment, revalidation, oversight, and compliance activities through documented field verification.
Findings
Requires Review. Validation. Follow-Up.
Identifies site conditions that may require additional review, enrollment updates, revalidation support, or oversight follow-up.
Program Integrity. Compliance. Revalidation.
Independent site verification helps identify provider discrepancies before they impact oversight activities, compliance reviews, revalidation efforts, or program integrity initiatives.
Nationwide healthcare provider validation for high-risk provider categories requiring accuracy, compliance, and field-level visibility.
Program Integrity & Oversight
Accurate provider information supports enrollment oversight, revalidation activities, compliance initiatives, and program integrity efforts across government healthcare programs.
Supports efforts to identify enrollment discrepancies and provider record inconsistencies.
Provides documented support for oversight, audit, and compliance activities.
Helps maintain accurate provider information during revalidation cycles.
Verified Enrollment Data
Supports screening, enrollment, and ongoing provider oversight activities.
Improves confidence that provider records align with site conditions.
Supports informed oversight decisions through documented field observations.
Independent field verification helps government healthcare organizations maintain confidence in provider enrollment information, site conditions, and oversight activities.
Verification Evidence & Reporting
Every site visit includes standardized documentation, geo-tagged photography, operational observations, and structured reporting designed to support provider enrollment, revalidation, compliance, and program integrity initiatives.
Is the provider/supplier open for business?
Does the facility appear to have employees/staff present?
Does there appear to be signs of customer activity present during the survey?
Does the facility have a sign that indicates the business name? (Applicable for DMEPOS Suppliers Only)
If posted, note the facilities hours of operation: yes
Does the facility appear to have inventory present? (Applicable for DMEPOS Suppliers Only)
39.9242° N, 83.8121° W
06/12/2026 • 10:30 AM EST
Consistent, secure, and ready when you need it.
Built for Program Oversight
Supporting CMS, state Medicaid agency, Medicare, MCO, and contractor verification requirements through nationwide field verification, audit-ready documentation, and scalable program support.
35+
Years Experience
2,000+
Field Specialists
50
States & Territories
SOC-Certified
HIPAA-Compliant
Processes
Supporting provider enrollment, revalidation, oversight, and program integrity initiatives through nationwide field verification and documented evidence.
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