What we do

Audit & Attest


We provide independent audit and attest services that help government agencies, health plans, and health care organizations strengthen accountability, support compliance, and maintain confidence in program operations. Our team delivers objective assessments, detailed analyses, and actionable insights that support informed decision-making and effective stewardship of public resources.

Two women looking over data and smiling at one another.

Supporting Accountability Across Medicare, Medicaid, & Public Health and Human Services Programs 

Public health care and human services programs, including Medicaid, Medicare, nutrition services, child care, and school-based programs, reimburse billions of dollars annually to providers, health plans, and service organizations. Strong audit and attest functions are essential to ensuring payments are accurate, compliant, and aligned with program requirements. 

We support federal, state, and local agencies by providing independent, objective assurance that public funds are managed responsibly, strengthening oversight, transparency, and accountability across complex program environments. 


Independent Oversight That Supports Accountability

Our audit and attest professionals bring deep experience in health care and human services programs, delivering services tailored to the unique regulatory and operational requirements of public-sector organizations. We work closely with clients to evaluate financial, operational, and compliance-related activities, providing clear, reliable reporting that supports transparency, program integrity, and continuous improvement.

Where We Support Audit & Attest Functions 

Our audit and attest services support a wide range of health care and human services programs, helping organizations assess compliance, strengthen internal controls, evaluate financial reporting, and ensure alignment with federal and state requirements.

Cost reporting plays a central role in Medicare and Medicaid reimbursement. 

We support agencies in auditing cost reports, validating reimbursement, and ensuring compliance with program requirements across provider types and payment systems. 

  • Medicare and Medicaid cost report audits.
  • Provider reimbursement validation.
  • Cost settlement reviews.
  • Hospital and long-term care reimbursement audits.

Disproportionate Share Hospital (DSH) audits require specialized expertise to ensure compliance with federal requirements and accurate hospital-specific limits. 

We support states in conducting defensible DSH audits aligned with regulatory expectations and program funding requirements. 

  • DSH audit and reporting services.
  • Medicaid supplemental payment oversight.
  • Independent DSH audit reviews.

Public health and human services programs operate in a highly regulated environment requiring ongoing oversight and accountability. 

We conduct compliance audits and targeted reviews across health care and human services programs, including regulatory reviews, program-specific compliance activities, and administrative oversight functions. 

  • Regulatory compliance reviews.
  • Program integrity assessments.
  • Federal and state program audits.
  • Administrative and operational oversight reviews.

Human services programs require the same level of financial oversight, compliance, and accountability as public health care programs, often within complex federal and state regulatory frameworks. 

We support agencies in auditing and reviewing programs such as food and nutrition services, school-based services, child care, child welfare, and other state-administered benefit programs, ensuring compliance, strengthening oversight, and supporting effective program administration. 

  • Food & nutrition program compliance.
  • School-based services audits.
  • Child care program reviews.
  • Child care welfare program oversight.
  • Human services program compliance monitoring.

States are increasingly focused on ensuring that reimbursement supports wages for direct care workers. 

We support the design, implementation, and audit of wage reporting and compliance programs to strengthen transparency and accountability across provider types. 

  • Direct care worker wage reviews.
  • Workforce reporting validation.
  • Provider wage compliance audits.
  • Medicaid wage transparency initiatives.
  • Staffing and compensation oversight.

Accurate data is foundational to reimbursement, rate setting, and program oversight. 

We validate the financial and operational data used in payment methodologies, regulatory reporting, and large-scale program administration—ensuring accuracy, transparency, and defensibility. 

  • Financial data validation.
  • Encounter and claims data reviews.
  • Rate-setting data verification.
  • Regulatory reporting support.
  • Data quality and integrity assessments.

Government-sponsored health benefit plans require independent oversight to ensure alignment with plan design and contractual requirements.

We provide audit and review services for third-party administrators (TPAs) and pharmacy benefit managers (PBMs), supporting financial stewardship and program integrity.

  • PBM audits.
  • TPA reviews.
  • Health benefit plan oversight.
  • Contract compliance assessments.
  • Financial and operational performance reviews.
Integrated program oversight

How It Works Together

Audit and attest functions are closely connected to reimbursement, program integrity, and broader program administration. Our integrated approach allows agencies to align audit activities across program areas—strengthening oversight, identifying risk, and supporting consistent, defensible outcomes.

Experience & Approach

Our team brings deep specialization in public health care and human services auditing, combined with practical knowledge of program operations and regulatory requirements. We work on behalf of government agencies, delivering independent, objective results supported by scalable methodologies and clear, defensible documentation. 

Supporting Accountability Across public Programs

We help agencies strengthen audit functions, improve payment accuracy, and support compliance with evolving requirements, advancing transparency, accountability, and long-term program sustainability. 

The Transformative Power of Partnership

Connect With Our Team

Partner with experts who understand the complexities of health and human services programs. Let us guide your organization through the industry’s unique challenges and opportunities.

Mark Korpela, CFE
Principal

Email: mkorpela@mslc.com
Phone Number: 410-581-4550

Email: tammym@mslc.com
Phone Number: 208-378-4100

In the Words of Our Clients…

Myers & Stauffer is an amazing working partner with a multitude of knowledge and experience. They are always eager to assist with our needs and respond promptly to requests.”

Sharing Knowledge & strengthening programs

Recent Insights

We’re committed to advancing government health care through thought leadership, collaboration, and the open exchange of ideas that drive better outcomes. Explore our latest blogs, client alerts, case studies, and thought leadership to see how our expertise can support your goals.