Government and Public Sector Healthcare
Program integrityand audit readinessfor public healthcare.
State health authorities, county agencies, public hospitals, and court programs work under constant public scrutiny. Circle checks casework and clinical documentation against each program's rules before claims are submitted or reports are filed, so public funds stay protected and teams stay ready for review.
Under 30 min
To answer a 500+ page records request
Every public dollar claimed or reported has to be backed by the record. Circle helps teams document to each program's rules while staff stay in full control.
Reimbursement structure
Funded across many public streams at once: Medicaid state plans and waivers, Medicare, Title IV-E, SAMHSA block grants, opioid settlement funds, and county appropriations, each with its own documentation rules.
Common criteria evaluated
- State Medicaid program rules
- 2 CFR 200 Single Audit
- CMS Conditions of Participation
- Medicare and Medicaid audit contractors
- State licensing and DMH/DPH codes
- Grant and settlement reporting terms
How it works, in the daily work.
Built into every review.
Improper payment prevention
Medical necessity, enrollment, and required signatures checked before services are billed to public payers.
Every program's rules, kept separate
State codes, waiver terms, grant requirements, and county contracts held in the Rulebook and applied where they belong.
Court and corrections programs
Recovery court phases, community corrections case notes, and clinical assessments supported with role-based access across teams.
Grant and settlement accountability
Service documentation organized so programs can show how SAMHSA and opioid settlement funds were used.
Ready for any reviewer
Complete, cited records assembled quickly for audit contractors, state inspections, and Single Audits.
Staff stay in control
Circle works alongside the systems already in place. Nothing enters the system of record without staff review and approval.
What customers have measured.
Under 30 min
To answer a 500+ page records request
100%
Chart review coverage
49% to 90%
Compliance at Catholic Guardian Services
2M+
Records processed
Explore further
Who we serve
Health Systems and Provider Networks
Consistent oversight across sites, programs, and payers.
Who we serve
Child Welfare and Family Services
Contact notes that reflect safety, permanency, and well-being.
Who we serve
CCBHCs and Community Health
Encounter documentation that supports each billable visit.
Solution
Pre-Bill and Record Reviews
Documentation gaps caught before billing, and records ready for payer reviews.
Know what each payer expects. Act before revenue is at risk.
See how Circle fits alongside the systems already in place.
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