Committed to Collaboration that Delivers Results With a team of experienced researchers and subject matter experts, RELI provides integral support to CMS through services that fight fraud, waste, and abuse while ensuring a high quality of care for all Americans. Reliable, Trustworthy Collaboration that Delivers Results A trusted partner of the Federal Government, RELI consistently meets our customers' goals by providing qualified personnel with real-world experience, resulting in excellent CPARS performance. Addressing Your Business Needs with Innovative Solutions RELI deploys robust capabilities, relevant experience, and subject matter expertise to meet the evolving need for healthcare solutions and the increasing demand for broader IT architecture integration. Previous Next Our Stories Our Stories RELI Group provides an advanced perspective in delivering innovative technological solutions within our core specializations. Learn More Keeping America’s Federal Network Secure RELI partners with Federal Agencies to protect the confidentiality, integrity, and availability of systems and data by ensuring compliance with state and federal regulations. Supporting TSA RELI holds the TSA Program Management Support Services BPA. Essential Research Support RELI develops custom templates for required data and provides multistep quality assurance process to confirm accuracy and completeness. Our Customers CapabilitiesIT Solutions System Integration and DevOps We offer cost-effective, high-quality architectural integration of new systems with existing data sources, leveraging our expert understanding of healthcare systems and administration technology. Learn More Program & Project Management We specialize in providing a wide variety of program and project management solutions that promote productivity and ensure the delivery of high-quality timely results. Learn More Requirements Engineering Business Process Modeling (BPM) By analyzing the underlying requirements and workflows, we apply a reengineered business process that considers people, processes, and technology to reduce inefficiencies. Learn More Testing and Independent Validation & Verification (IV&V) Leveraging the right testing practices enables early detection of defects prior to a production release and resulting in positive feedback and confidence in the solution. Learn More Cybersecurity RELI holds a history of providing IA services to Federal health customers. We ensure confidentiality, integrity, and availability of data on critical applications & systems. Learn More Training & Facilitation We use the lean tool Kaizen to convene an event with multiple stakeholders involved with clinical decision support (CDS), yielding improvements to adherence to clinical guidelines. Learn More System Integration and DevOps We offer cost-effective, high-quality architectural integration of new systems with existing data sources, leveraging our expert understanding of healthcare systems and administration technology. Learn More Program & Project Management We specialize in providing a wide variety of program and project management solutions that promote productivity and ensure the delivery of high-quality timely results. Learn More Requirements Engineering Business Process Modeling (BPM) By analyzing the underlying requirements and workflows, we apply a reengineered business process that considers people, processes, and technology to reduce inefficiencies. Learn More Testing and Independent Validation & Verification (IV&V) Leveraging the right testing practices enables early detection of defects prior to a production release and resulting in positive feedback and confidence in the solution. Learn More Cybersecurity RELI holds a history of providing IA services to Federal health customers. We ensure confidentiality, integrity, and availability of data on critical applications & systems. Learn More Training & Facilitation We use the lean tool Kaizen to convene an event with multiple stakeholders involved with clinical decision support (CDS), yielding improvements to adherence to clinical guidelines. Learn More System Integration and DevOps We offer cost-effective, high-quality architectural integration of new systems with existing data sources, leveraging our expert understanding of healthcare systems and administration technology. Learn More Program & Project Management We specialize in providing a wide variety of program and project management solutions that promote productivity and ensure the delivery of high-quality timely results. Learn More Requirements Engineering Business Process Modeling (BPM) By analyzing the underlying requirements and workflows, we apply a reengineered business process that considers people, processes, and technology to reduce inefficiencies. Learn More Testing and Independent Validation & Verification (IV&V) Leveraging the right testing practices enables early detection of defects prior to a production release and resulting in positive feedback and confidence in the solution. Learn More Cybersecurity RELI holds a history of providing IA services to Federal health customers. We ensure confidentiality, integrity, and availability of data on critical applications & systems. Learn More Training & Facilitation We use the lean tool Kaizen to convene an event with multiple stakeholders involved with clinical decision support (CDS), yielding improvements to adherence to clinical guidelines. Learn More System Integration and DevOps We offer cost-effective, high-quality architectural integration of new systems with existing data sources, leveraging our expert understanding of healthcare systems and administration technology. Learn More Program & Project Management We specialize in providing a wide variety of program and project management solutions that promote productivity and ensure the delivery of high-quality timely results. Learn More Requirements Engineering Business Process Modeling (BPM) By analyzing the underlying requirements and workflows, we apply a reengineered business process that considers people, processes, and technology to reduce inefficiencies. Learn More Testing and Independent Validation & Verification (IV&V) Leveraging the right testing practices enables early detection of defects prior to a production release and resulting in positive feedback and confidence in the solution. Learn More Cybersecurity RELI holds a history of providing IA services to Federal health customers. We ensure confidentiality, integrity, and availability of data on critical applications & systems. Learn More Training & Facilitation We use the lean tool Kaizen to convene an event with multiple stakeholders involved with clinical decision support (CDS), yielding improvements to adherence to clinical guidelines. Learn More System Integration and DevOps We offer cost-effective, high-quality architectural integration of new systems with existing data sources, leveraging our expert understanding of healthcare systems and administration technology. Learn More Program & Project Management We specialize in providing a wide variety of program and project management solutions that promote productivity and ensure the delivery of high-quality timely results. Learn More Requirements Engineering Business Process Modeling (BPM) By analyzing the underlying requirements and workflows, we apply a reengineered business process that considers people, processes, and technology to reduce inefficiencies. Learn More Testing and Independent Validation & Verification (IV&V) Leveraging the right testing practices enables early detection of defects prior to a production release and resulting in positive feedback and confidence in the solution. Learn More Cybersecurity RELI holds a history of providing IA services to Federal health customers. We ensure confidentiality, integrity, and availability of data on critical applications & systems. Learn More Training & Facilitation We use the lean tool Kaizen to convene an event with multiple stakeholders involved with clinical decision support (CDS), yielding improvements to adherence to clinical guidelines. Learn More System Integration and DevOps We offer cost-effective, high-quality architectural integration of new systems with existing data sources, leveraging our expert understanding of healthcare systems and administration technology. Learn More Program & Project Management We specialize in providing a wide variety of program and project management solutions that promote productivity and ensure the delivery of high-quality timely results. Learn More Requirements Engineering Business Process Modeling (BPM) By analyzing the underlying requirements and workflows, we apply a reengineered business process that considers people, processes, and technology to reduce inefficiencies. Learn More Testing and Independent Validation & Verification (IV&V) Leveraging the right testing practices enables early detection of defects prior to a production release and resulting in positive feedback and confidence in the solution. Learn More Cybersecurity RELI holds a history of providing IA services to Federal health customers. We ensure confidentiality, integrity, and availability of data on critical applications & systems. Learn More Training & Facilitation We use the lean tool Kaizen to convene an event with multiple stakeholders involved with clinical decision support (CDS), yielding improvements to adherence to clinical guidelines. Learn More System Integration and DevOps We offer cost-effective, high-quality architectural integration of new systems with existing data sources, leveraging our expert understanding of healthcare systems and administration technology. Learn More Program & Project Management We specialize in providing a wide variety of program and project management solutions that promote productivity and ensure the delivery of high-quality timely results. Learn More Requirements Engineering Business Process Modeling (BPM) By analyzing the underlying requirements and workflows, we apply a reengineered business process that considers people, processes, and technology to reduce inefficiencies. Learn More Testing and Independent Validation & Verification (IV&V) Leveraging the right testing practices enables early detection of defects prior to a production release and resulting in positive feedback and confidence in the solution. Learn More Cybersecurity RELI holds a history of providing IA services to Federal health customers. We ensure confidentiality, integrity, and availability of data on critical applications & systems. Learn More Training & Facilitation We use the lean tool Kaizen to convene an event with multiple stakeholders involved with clinical decision support (CDS), yielding improvements to adherence to clinical guidelines. Learn More CapabilitiesHealth Services Medical Claims & Record Review Successful performance of collection of beneficiary healthcare data through medical record review having processed over 50,000 medical record reviews, which includes assigning ICD-9-CM codes that map to CMSHCCs medical records in accordance with risk adjustment data validation policy and ICD-9-CM Official Guidelines for Coding and Reporting. Learn More Data Analytics & Policy Research RELI experts and PhD level resources perform policy and program review, identify vulnerabilities and risks, develop algorithms for possible fraud models, Data analytics and report generation using SAS, STATA and R. We help our clients gather and analyze data to improve decision-making and performance across the organization. We use proven methods and industry-leading tools to collect and examine structured data, producing predictive models to inform the client where the organization is headed. Clients equipped with this knowledge can then make strategic decisions for every aspect of the organization. Our services include but are not limited to: predictive analytics and data mining, improper payment prevention and fraud detection, performance management and dashboards, business intelligence reporting, data profiling, and integration and quality services. Learn More Public Health Research RELI is uniquely positioned to close the gap between academic and Federal health research efforts, facilitating a more open exchange of best practices in the discovery and analysis of health information. We are proud to partner with Johns Hopkins, Penn State, and Morgan State Faculties to offer research services that address the root causes of today’s public health problems. In addition, we collaborate with a wide range of organizations from the communities that we serve. Our team of researchers conduct interdisciplinary research into the determinants of chronic disease and help develop community-based prevention strategies, and multidisciplinary research into critical health policy, payment accuracy, and healthcare delivery issues. Learn More Health Services Research The main goals of health services research are to identify the most effective ways to organize, manage, finance, and deliver high-quality care; reduce medical errors; reduce improper payments, improve patient safety and reduce inconsistency of the diagnosis coding practices. RELI Group’s consultants are experts in health services research, with interests organized around specific content areas. Our consultants are trained in health economics and health service research. Our expertise is in the development, management and analysis of health services data with an emphasis on predictive modeling and risk-adjustment methods. Two fundamental approaches we have been using to develop risk adjustment model: categorical model vs. regression model. We specialize in risk adjustment methodology to perform estimates for Medicare payment accuracy rates and Medicare Part C and Part D payment data validation. Our Consultants are certified SAS Programmer and PhD degree holders in their respective field of expertise. Learn More Digital Content Management We support the collection, management, and publishing of your digital content, including day-to-day website and social media updates and strategic content management projects, such as content migration and information architecture. Learn More Digital Strategy Support We use industry best practices, a deep understanding of the Digital Government Strategy, and a team of in-house Human Centered Design experts to ensure you connect your users to government information securely anywhere, anytime, on any device. Learn More Document Review and Management In support of the Consumer Product Safety Commission (CPSC), RELI performs quality control reviews and coding of electronic records received in the National Electronic Injury Surveillance System. The results of our data review and collection support CPSC in their mission to protect the public using this data for policy and decision making, public awareness and education, and monitoring and enforcing statutes, standards, and regulation. The data also supports the CDC in their All Injury Program. We also perform document management for CPSC, including digitizing, electronically filing, coding and tabulating data, and redacting where necessary documents and data from product injury/hazard/death reports, consumer reporting sources, retailers/manufacturers, and state agencies. Learn More Communication and Quality Control RELI supports the Medicare Part C Improper Payment Measure National Risk Adjustment Data Validation (RADV) contract for CMS which includes drafting and issuing communications to Medicare Advantage Organizations on behalf of CMS, as well as review and quality control of internal and external audit documentation. Learn More Medical Claims & Record Review Successful performance of collection of beneficiary healthcare data through medical record review having processed over 50,000 medical record reviews, which includes assigning ICD-9-CM codes that map to CMSHCCs medical records in accordance with risk adjustment data validation policy and ICD-9-CM Official Guidelines for Coding and Reporting. Learn More Data Analytics & Policy Research RELI experts and PhD level resources perform policy and program review, identify vulnerabilities and risks, develop algorithms for possible fraud models, Data analytics and report generation using SAS, STATA and R. We help our clients gather and analyze data to improve decision-making and performance across the organization. We use proven methods and industry-leading tools to collect and examine structured data, producing predictive models to inform the client where the organization is headed. Clients equipped with this knowledge can then make strategic decisions for every aspect of the organization. Our services include but are not limited to: predictive analytics and data mining, improper payment prevention and fraud detection, performance management and dashboards, business intelligence reporting, data profiling, and integration and quality services. Learn More Public Health Research RELI is uniquely positioned to close the gap between academic and Federal health research efforts, facilitating a more open exchange of best practices in the discovery and analysis of health information. We are proud to partner with Johns Hopkins, Penn State, and Morgan State Faculties to offer research services that address the root causes of today’s public health problems. In addition, we collaborate with a wide range of organizations from the communities that we serve. Our team of researchers conduct interdisciplinary research into the determinants of chronic disease and help develop community-based prevention strategies, and multidisciplinary research into critical health policy, payment accuracy, and healthcare delivery issues. Learn More Health Services Research The main goals of health services research are to identify the most effective ways to organize, manage, finance, and deliver high-quality care; reduce medical errors; reduce improper payments, improve patient safety and reduce inconsistency of the diagnosis coding practices. RELI Group’s consultants are experts in health services research, with interests organized around specific content areas. Our consultants are trained in health economics and health service research. Our expertise is in the development, management and analysis of health services data with an emphasis on predictive modeling and risk-adjustment methods. Two fundamental approaches we have been using to develop risk adjustment model: categorical model vs. regression model. We specialize in risk adjustment methodology to perform estimates for Medicare payment accuracy rates and Medicare Part C and Part D payment data validation. Our Consultants are certified SAS Programmer and PhD degree holders in their respective field of expertise. Learn More Digital Content Management We support the collection, management, and publishing of your digital content, including day-to-day website and social media updates and strategic content management projects, such as content migration and information architecture. Learn More Digital Strategy Support We use industry best practices, a deep understanding of the Digital Government Strategy, and a team of in-house Human Centered Design experts to ensure you connect your users to government information securely anywhere, anytime, on any device. Learn More Document Review and Management In support of the Consumer Product Safety Commission (CPSC), RELI performs quality control reviews and coding of electronic records received in the National Electronic Injury Surveillance System. The results of our data review and collection support CPSC in their mission to protect the public using this data for policy and decision making, public awareness and education, and monitoring and enforcing statutes, standards, and regulation. The data also supports the CDC in their All Injury Program. We also perform document management for CPSC, including digitizing, electronically filing, coding and tabulating data, and redacting where necessary documents and data from product injury/hazard/death reports, consumer reporting sources, retailers/manufacturers, and state agencies. Learn More Communication and Quality Control RELI supports the Medicare Part C Improper Payment Measure National Risk Adjustment Data Validation (RADV) contract for CMS which includes drafting and issuing communications to Medicare Advantage Organizations on behalf of CMS, as well as review and quality control of internal and external audit documentation. Learn More Medical Claims & Record Review Successful performance of collection of beneficiary healthcare data through medical record review having processed over 50,000 medical record reviews, which includes assigning ICD-9-CM codes that map to CMSHCCs medical records in accordance with risk adjustment data validation policy and ICD-9-CM Official Guidelines for Coding and Reporting. Learn More Data Analytics & Policy Research RELI experts and PhD level resources perform policy and program review, identify vulnerabilities and risks, develop algorithms for possible fraud models, Data analytics and report generation using SAS, STATA and R. We help our clients gather and analyze data to improve decision-making and performance across the organization. We use proven methods and industry-leading tools to collect and examine structured data, producing predictive models to inform the client where the organization is headed. Clients equipped with this knowledge can then make strategic decisions for every aspect of the organization. Our services include but are not limited to: predictive analytics and data mining, improper payment prevention and fraud detection, performance management and dashboards, business intelligence reporting, data profiling, and integration and quality services. Learn More Public Health Research RELI is uniquely positioned to close the gap between academic and Federal health research efforts, facilitating a more open exchange of best practices in the discovery and analysis of health information. We are proud to partner with Johns Hopkins, Penn State, and Morgan State Faculties to offer research services that address the root causes of today’s public health problems. In addition, we collaborate with a wide range of organizations from the communities that we serve. Our team of researchers conduct interdisciplinary research into the determinants of chronic disease and help develop community-based prevention strategies, and multidisciplinary research into critical health policy, payment accuracy, and healthcare delivery issues. Learn More Health Services Research The main goals of health services research are to identify the most effective ways to organize, manage, finance, and deliver high-quality care; reduce medical errors; reduce improper payments, improve patient safety and reduce inconsistency of the diagnosis coding practices. RELI Group’s consultants are experts in health services research, with interests organized around specific content areas. Our consultants are trained in health economics and health service research. Our expertise is in the development, management and analysis of health services data with an emphasis on predictive modeling and risk-adjustment methods. Two fundamental approaches we have been using to develop risk adjustment model: categorical model vs. regression model. We specialize in risk adjustment methodology to perform estimates for Medicare payment accuracy rates and Medicare Part C and Part D payment data validation. Our Consultants are certified SAS Programmer and PhD degree holders in their respective field of expertise. Learn More Digital Content Management We support the collection, management, and publishing of your digital content, including day-to-day website and social media updates and strategic content management projects, such as content migration and information architecture. Learn More Digital Strategy Support We use industry best practices, a deep understanding of the Digital Government Strategy, and a team of in-house Human Centered Design experts to ensure you connect your users to government information securely anywhere, anytime, on any device. Learn More Document Review and Management In support of the Consumer Product Safety Commission (CPSC), RELI performs quality control reviews and coding of electronic records received in the National Electronic Injury Surveillance System. The results of our data review and collection support CPSC in their mission to protect the public using this data for policy and decision making, public awareness and education, and monitoring and enforcing statutes, standards, and regulation. The data also supports the CDC in their All Injury Program. We also perform document management for CPSC, including digitizing, electronically filing, coding and tabulating data, and redacting where necessary documents and data from product injury/hazard/death reports, consumer reporting sources, retailers/manufacturers, and state agencies. Learn More Communication and Quality Control RELI supports the Medicare Part C Improper Payment Measure National Risk Adjustment Data Validation (RADV) contract for CMS which includes drafting and issuing communications to Medicare Advantage Organizations on behalf of CMS, as well as review and quality control of internal and external audit documentation. Learn More Medical Claims & Record Review Successful performance of collection of beneficiary healthcare data through medical record review having processed over 50,000 medical record reviews, which includes assigning ICD-9-CM codes that map to CMSHCCs medical records in accordance with risk adjustment data validation policy and ICD-9-CM Official Guidelines for Coding and Reporting. Learn More Data Analytics & Policy Research RELI experts and PhD level resources perform policy and program review, identify vulnerabilities and risks, develop algorithms for possible fraud models, Data analytics and report generation using SAS, STATA and R. We help our clients gather and analyze data to improve decision-making and performance across the organization. We use proven methods and industry-leading tools to collect and examine structured data, producing predictive models to inform the client where the organization is headed. Clients equipped with this knowledge can then make strategic decisions for every aspect of the organization. Our services include but are not limited to: predictive analytics and data mining, improper payment prevention and fraud detection, performance management and dashboards, business intelligence reporting, data profiling, and integration and quality services. Learn More Public Health Research RELI is uniquely positioned to close the gap between academic and Federal health research efforts, facilitating a more open exchange of best practices in the discovery and analysis of health information. We are proud to partner with Johns Hopkins, Penn State, and Morgan State Faculties to offer research services that address the root causes of today’s public health problems. In addition, we collaborate with a wide range of organizations from the communities that we serve. Our team of researchers conduct interdisciplinary research into the determinants of chronic disease and help develop community-based prevention strategies, and multidisciplinary research into critical health policy, payment accuracy, and healthcare delivery issues. Learn More Health Services Research The main goals of health services research are to identify the most effective ways to organize, manage, finance, and deliver high-quality care; reduce medical errors; reduce improper payments, improve patient safety and reduce inconsistency of the diagnosis coding practices. RELI Group’s consultants are experts in health services research, with interests organized around specific content areas. Our consultants are trained in health economics and health service research. Our expertise is in the development, management and analysis of health services data with an emphasis on predictive modeling and risk-adjustment methods. Two fundamental approaches we have been using to develop risk adjustment model: categorical model vs. regression model. We specialize in risk adjustment methodology to perform estimates for Medicare payment accuracy rates and Medicare Part C and Part D payment data validation. Our Consultants are certified SAS Programmer and PhD degree holders in their respective field of expertise. Learn More Digital Content Management We support the collection, management, and publishing of your digital content, including day-to-day website and social media updates and strategic content management projects, such as content migration and information architecture. Learn More Digital Strategy Support We use industry best practices, a deep understanding of the Digital Government Strategy, and a team of in-house Human Centered Design experts to ensure you connect your users to government information securely anywhere, anytime, on any device. Learn More Document Review and Management In support of the Consumer Product Safety Commission (CPSC), RELI performs quality control reviews and coding of electronic records received in the National Electronic Injury Surveillance System. The results of our data review and collection support CPSC in their mission to protect the public using this data for policy and decision making, public awareness and education, and monitoring and enforcing statutes, standards, and regulation. The data also supports the CDC in their All Injury Program. We also perform document management for CPSC, including digitizing, electronically filing, coding and tabulating data, and redacting where necessary documents and data from product injury/hazard/death reports, consumer reporting sources, retailers/manufacturers, and state agencies. Learn More Communication and Quality Control RELI supports the Medicare Part C Improper Payment Measure National Risk Adjustment Data Validation (RADV) contract for CMS which includes drafting and issuing communications to Medicare Advantage Organizations on behalf of CMS, as well as review and quality control of internal and external audit documentation. Learn More Medical Claims & Record Review Successful performance of collection of beneficiary healthcare data through medical record review having processed over 50,000 medical record reviews, which includes assigning ICD-9-CM codes that map to CMSHCCs medical records in accordance with risk adjustment data validation policy and ICD-9-CM Official Guidelines for Coding and Reporting. Learn More Data Analytics & Policy Research RELI experts and PhD level resources perform policy and program review, identify vulnerabilities and risks, develop algorithms for possible fraud models, Data analytics and report generation using SAS, STATA and R. We help our clients gather and analyze data to improve decision-making and performance across the organization. We use proven methods and industry-leading tools to collect and examine structured data, producing predictive models to inform the client where the organization is headed. Clients equipped with this knowledge can then make strategic decisions for every aspect of the organization. Our services include but are not limited to: predictive analytics and data mining, improper payment prevention and fraud detection, performance management and dashboards, business intelligence reporting, data profiling, and integration and quality services. Learn More Public Health Research RELI is uniquely positioned to close the gap between academic and Federal health research efforts, facilitating a more open exchange of best practices in the discovery and analysis of health information. We are proud to partner with Johns Hopkins, Penn State, and Morgan State Faculties to offer research services that address the root causes of today’s public health problems. In addition, we collaborate with a wide range of organizations from the communities that we serve. Our team of researchers conduct interdisciplinary research into the determinants of chronic disease and help develop community-based prevention strategies, and multidisciplinary research into critical health policy, payment accuracy, and healthcare delivery issues. Learn More Health Services Research The main goals of health services research are to identify the most effective ways to organize, manage, finance, and deliver high-quality care; reduce medical errors; reduce improper payments, improve patient safety and reduce inconsistency of the diagnosis coding practices. RELI Group’s consultants are experts in health services research, with interests organized around specific content areas. Our consultants are trained in health economics and health service research. Our expertise is in the development, management and analysis of health services data with an emphasis on predictive modeling and risk-adjustment methods. Two fundamental approaches we have been using to develop risk adjustment model: categorical model vs. regression model. We specialize in risk adjustment methodology to perform estimates for Medicare payment accuracy rates and Medicare Part C and Part D payment data validation. Our Consultants are certified SAS Programmer and PhD degree holders in their respective field of expertise. Learn More Digital Content Management We support the collection, management, and publishing of your digital content, including day-to-day website and social media updates and strategic content management projects, such as content migration and information architecture. Learn More Digital Strategy Support We use industry best practices, a deep understanding of the Digital Government Strategy, and a team of in-house Human Centered Design experts to ensure you connect your users to government information securely anywhere, anytime, on any device. Learn More Document Review and Management In support of the Consumer Product Safety Commission (CPSC), RELI performs quality control reviews and coding of electronic records received in the National Electronic Injury Surveillance System. The results of our data review and collection support CPSC in their mission to protect the public using this data for policy and decision making, public awareness and education, and monitoring and enforcing statutes, standards, and regulation. The data also supports the CDC in their All Injury Program. We also perform document management for CPSC, including digitizing, electronically filing, coding and tabulating data, and redacting where necessary documents and data from product injury/hazard/death reports, consumer reporting sources, retailers/manufacturers, and state agencies. Learn More Communication and Quality Control RELI supports the Medicare Part C Improper Payment Measure National Risk Adjustment Data Validation (RADV) contract for CMS which includes drafting and issuing communications to Medicare Advantage Organizations on behalf of CMS, as well as review and quality control of internal and external audit documentation. Learn More Medical Claims & Record Review Successful performance of collection of beneficiary healthcare data through medical record review having processed over 50,000 medical record reviews, which includes assigning ICD-9-CM codes that map to CMSHCCs medical records in accordance with risk adjustment data validation policy and ICD-9-CM Official Guidelines for Coding and Reporting. Learn More Data Analytics & Policy Research RELI experts and PhD level resources perform policy and program review, identify vulnerabilities and risks, develop algorithms for possible fraud models, Data analytics and report generation using SAS, STATA and R. We help our clients gather and analyze data to improve decision-making and performance across the organization. We use proven methods and industry-leading tools to collect and examine structured data, producing predictive models to inform the client where the organization is headed. Clients equipped with this knowledge can then make strategic decisions for every aspect of the organization. Our services include but are not limited to: predictive analytics and data mining, improper payment prevention and fraud detection, performance management and dashboards, business intelligence reporting, data profiling, and integration and quality services. Learn More Public Health Research RELI is uniquely positioned to close the gap between academic and Federal health research efforts, facilitating a more open exchange of best practices in the discovery and analysis of health information. We are proud to partner with Johns Hopkins, Penn State, and Morgan State Faculties to offer research services that address the root causes of today’s public health problems. In addition, we collaborate with a wide range of organizations from the communities that we serve. Our team of researchers conduct interdisciplinary research into the determinants of chronic disease and help develop community-based prevention strategies, and multidisciplinary research into critical health policy, payment accuracy, and healthcare delivery issues. Learn More Health Services Research The main goals of health services research are to identify the most effective ways to organize, manage, finance, and deliver high-quality care; reduce medical errors; reduce improper payments, improve patient safety and reduce inconsistency of the diagnosis coding practices. RELI Group’s consultants are experts in health services research, with interests organized around specific content areas. Our consultants are trained in health economics and health service research. Our expertise is in the development, management and analysis of health services data with an emphasis on predictive modeling and risk-adjustment methods. Two fundamental approaches we have been using to develop risk adjustment model: categorical model vs. regression model. We specialize in risk adjustment methodology to perform estimates for Medicare payment accuracy rates and Medicare Part C and Part D payment data validation. Our Consultants are certified SAS Programmer and PhD degree holders in their respective field of expertise. Learn More Digital Content Management We support the collection, management, and publishing of your digital content, including day-to-day website and social media updates and strategic content management projects, such as content migration and information architecture. Learn More Digital Strategy Support We use industry best practices, a deep understanding of the Digital Government Strategy, and a team of in-house Human Centered Design experts to ensure you connect your users to government information securely anywhere, anytime, on any device. Learn More Document Review and Management In support of the Consumer Product Safety Commission (CPSC), RELI performs quality control reviews and coding of electronic records received in the National Electronic Injury Surveillance System. The results of our data review and collection support CPSC in their mission to protect the public using this data for policy and decision making, public awareness and education, and monitoring and enforcing statutes, standards, and regulation. The data also supports the CDC in their All Injury Program. We also perform document management for CPSC, including digitizing, electronically filing, coding and tabulating data, and redacting where necessary documents and data from product injury/hazard/death reports, consumer reporting sources, retailers/manufacturers, and state agencies. Learn More Communication and Quality Control RELI supports the Medicare Part C Improper Payment Measure National Risk Adjustment Data Validation (RADV) contract for CMS which includes drafting and issuing communications to Medicare Advantage Organizations on behalf of CMS, as well as review and quality control of internal and external audit documentation. Learn More Medical Claims & Record Review Successful performance of collection of beneficiary healthcare data through medical record review having processed over 50,000 medical record reviews, which includes assigning ICD-9-CM codes that map to CMSHCCs medical records in accordance with risk adjustment data validation policy and ICD-9-CM Official Guidelines for Coding and Reporting. Learn More Data Analytics & Policy Research RELI experts and PhD level resources perform policy and program review, identify vulnerabilities and risks, develop algorithms for possible fraud models, Data analytics and report generation using SAS, STATA and R. We help our clients gather and analyze data to improve decision-making and performance across the organization. We use proven methods and industry-leading tools to collect and examine structured data, producing predictive models to inform the client where the organization is headed. Clients equipped with this knowledge can then make strategic decisions for every aspect of the organization. Our services include but are not limited to: predictive analytics and data mining, improper payment prevention and fraud detection, performance management and dashboards, business intelligence reporting, data profiling, and integration and quality services. Learn More Public Health Research RELI is uniquely positioned to close the gap between academic and Federal health research efforts, facilitating a more open exchange of best practices in the discovery and analysis of health information. We are proud to partner with Johns Hopkins, Penn State, and Morgan State Faculties to offer research services that address the root causes of today’s public health problems. In addition, we collaborate with a wide range of organizations from the communities that we serve. Our team of researchers conduct interdisciplinary research into the determinants of chronic disease and help develop community-based prevention strategies, and multidisciplinary research into critical health policy, payment accuracy, and healthcare delivery issues. Learn More Health Services Research The main goals of health services research are to identify the most effective ways to organize, manage, finance, and deliver high-quality care; reduce medical errors; reduce improper payments, improve patient safety and reduce inconsistency of the diagnosis coding practices. RELI Group’s consultants are experts in health services research, with interests organized around specific content areas. Our consultants are trained in health economics and health service research. Our expertise is in the development, management and analysis of health services data with an emphasis on predictive modeling and risk-adjustment methods. Two fundamental approaches we have been using to develop risk adjustment model: categorical model vs. regression model. We specialize in risk adjustment methodology to perform estimates for Medicare payment accuracy rates and Medicare Part C and Part D payment data validation. Our Consultants are certified SAS Programmer and PhD degree holders in their respective field of expertise. Learn More Digital Content Management We support the collection, management, and publishing of your digital content, including day-to-day website and social media updates and strategic content management projects, such as content migration and information architecture. Learn More Digital Strategy Support We use industry best practices, a deep understanding of the Digital Government Strategy, and a team of in-house Human Centered Design experts to ensure you connect your users to government information securely anywhere, anytime, on any device. Learn More Document Review and Management In support of the Consumer Product Safety Commission (CPSC), RELI performs quality control reviews and coding of electronic records received in the National Electronic Injury Surveillance System. The results of our data review and collection support CPSC in their mission to protect the public using this data for policy and decision making, public awareness and education, and monitoring and enforcing statutes, standards, and regulation. The data also supports the CDC in their All Injury Program. We also perform document management for CPSC, including digitizing, electronically filing, coding and tabulating data, and redacting where necessary documents and data from product injury/hazard/death reports, consumer reporting sources, retailers/manufacturers, and state agencies. Learn More Communication and Quality Control RELI supports the Medicare Part C Improper Payment Measure National Risk Adjustment Data Validation (RADV) contract for CMS which includes drafting and issuing communications to Medicare Advantage Organizations on behalf of CMS, as well as review and quality control of internal and external audit documentation. Learn More Why RELI RELI Group provides an advanced perspective in how we deliver innovative technological solutions within our core specializations – Healthcare IT and Population Health – servicing Federal, Commercial, and Non-Profit organizations. Learn More RELI Leadership Scott Bonney Senior Director, Business Process Services Scott has over 20 years of program management experience working with local, state and federal agencies. He spent the last decade focused on IT program delivery for CMS. Scott brings expertise in project management, strategic planning, and business process engineering. Frank Gorton Vice President, Engineering and Digital Services Frank holds over 23 years of experience supporting both commercial clients and federal agencies, ranging from AOL to CMS. Frank has built strong, high-performing teams that utilize technology to deliver continuous improvement and exceed customer expectations. Mohammad "Sam" Elias, PMP RELI President & CEO After supporting CMS's HealthIT initiatives for more than a decade, Sam understands the importance of customer-centered, value-creating systems. He is an active leader in professional associations and actively serves the missions of local charitable and industry organizations. Swami Swaminathan Chief Information Officer With more than two decades of strategic Health IT leadership Swami brings the right mix of innovation and successful solution delivery. He reviewed and guided engineered solutions for standards, best practices and compliance on the Technical Review Board (TRB) at CMS. Mike Reinhold Chief Technology Officer and Chief Security Officer Mike joined RELI Group after 14 years in CMS leadership. At CMS, Mike supervised the Information Systems Group within the Center for Clinical Standards (CCSQ/ISG) and was an advisor for the Center for Medicare & Medicaid Innovation (CMMI). Mike Rapp, M.D., J.D. Chief Medical Officer With more than 30 years of clinical experience and service as the longtime Director of the Quality Measurement and Health Assessment Group at the CMS Center for Clinical Standards and Quality (CCSQ), Dr. Rapp brings expertise and oversight on healthcare related topics, mitigating risk and ensuring overall success. Tish Mossman Vice President, PMO Practice Lead Tish brings a proven track record of successfully delivering results through strong leadership, excellent decision making, demonstrated team building, exceptional program management skills, and effective interpersonal skills. Mare McCall Director of HR & Operations With more than 12 years of HR management experience, Mare ensures RELI successfully meets its business needs. She holds a master’s degree from the University of Baltimore and served in the U.S. Army in an intelligence communication role in South Korea. Michelle Atkins Senior Director/Medical Review Practice Lead With more than 20 years' experience in medical record review and healthcare management, Michelle brings extensive expertise in medical review program oversight with successful project delivery through strong leadership, focused team building, and customer-oriented goals. Achievements