Case Study | Internal Audit
How agile auditing saved a $3M project.
A Massachusetts-based healthcare payer with $2.6B in revenue embarked on a $3 million claims-processing implementation with a tight one-year deadline — when most projects like this take up to two and a half years.
The stakes: Penalties
Missing the deadline would mean regulatory penalties and enrollment suspension.
How we helped: Real-time action
- We divided the audit into sprints aligned with the project phases to address critical risks before they snowballed.
- We aligned audit scope with project milestones, offering leadership peace of mind that the project was on track.
- We provided guidance to address findings quickly and ensured the project team resolved them before the next sprint began.
The outcome: On-time resolution
- The project was completed on time with minimal issues, and the organization avoided CMS regulatory penalties.
- The audit team provided the Board of Directors with concise and actionable reports after each sprint, allowing them to prioritize resources as needed.
- The project team took action in real time to minimize liability.