Navigating complexity with clarity
Strengthen compliance. Protect revenue. Improve patient care.
At Revenue Integrity & Strategic Compliance (RISC) LLC, we deliver Specialized Consulting for OTP’s, IOP’s, Behavioral Health Agencies, Tribal Health Systems, and Court‑Involved Treatment Programs. With extensive multi‑state experience in high‑risk, highly regulated environments, we help organizations achieve operational excellence, regulatory readiness, and sustainable financial performance.
Our mission
Revenue Integrity & Strategic Compliance (RISC) LLC helps Opioid Treatment Programs (OTPs), Behavioral Health Agencies, Tribal Systems, and government partners reduce organizational risk by strengthening Medicaid and Medicare compliance, improving revenue integrity, and preventing Fraud, Waste & Abuse (FWA). With extensive multi‑state experience in regulatory interpretation and operational oversight, RISC provides expert auditing, documentation review, and system‑level consulting that protects reimbursement and ensures defensible compliance.
Our experience extends beyond policy and oversight—Our team has worked embedded within these programs, training staff, navigating Medicaid enrollment, and understanding firsthand the barriers and operational realities organizations face. RISC provides dedicated support for tribal Opioid Treatment Programs, correctional medicine, court‑involved individuals, and re‑entry populations—ensuring equitable access to care and effective outcomes for vulnerable patients
RISC specializes in building programs from the ground up, developing policies and procedures, designing operational workflows, and aligning organizations with CMS, SAMHSA, DEA, CARF, and state Medicaid requirements. Our team brings decades of real‑world experience in revenue cycle management, billing integrity, and behavioral health operations, giving organizations the structure, clarity, and accountability needed to operate confidently in today’s complex regulatory environment.
At RISC, we don’t just identify risk—we help you eliminate it.
Specialized consulting services
We provide specialized consulting services tailored to the complex needs of Opioid Treatment Programs, Behavioral Health Agencies, and Substance Use Disorder (SUD). Our expertise ensures your organization not only complies but excels — strengthening operational integrity, protecting revenue, and supporting sustainable, patient‑centered growth.
Compliance and Audit Readiness
Navigate complex DEA, CARF, SOTA, Medicaid, and Medicare requirements with confidence. RISC LLC ensures your program is fully audit‑ready and compliant across all regulatory bodies — minimizing risk, strengthening operational integrity, and protecting your revenue.
Operational Excellence
Across Opioid Treatment Programs, Behavioral Health Agencies, and Tribal Health Systems, we strengthen operations with a focus on efficiency, dignity, and patient‑centered care. RISC LLC delivers practical, measurable improvements that enhance workflows, strengthen patient care, and support long‑term program success.
Revenue Integrity
Strengthen your financial performance with accurate billing, compliant documentation, credentialing, and strategic revenue cycle management that ensures full and proper revenue capture.
Vulnerable Populations Support
RISC LLC provides specialized consulting for organizations serving vulnerable and justice‑involved populations, with a focus on correctional medicine, behavioral health, and re‑entry services. We support agencies, clinics, and Tribal health systems in building compliant, effective, and culturally responsive programs that improve access to care and strengthen outcomes for individuals at the highest risk.
Expert Medical Billing & Coding
Specializing in Opioid Treatment Program, IOP, and Behavioral Health Agencies. We provide expert billing credentialing and documentation support tailored to OTPs, IOPs, and Behavioral Health programs — ensuring accurate coding, compliant claims, and full revenue capture in highly regulated treatment environments.
Why choose RISC LLC?
RISC LLC stands apart because we bring real operational experience backed by deep industry expertise. We understand high‑risk, highly regulated programs and specialize in Medicaid/Medicare compliance, billing integrity, and revenue protection. Our capabilities also include state and provisional licensing, CARF accreditation, SOTA coordination, SAMHSA certification, and DEA credentialing. Whether on‑site or remote, we adapt to your needs, build trust quickly, and deliver measurable, sustainable results.
Our commitment to you
RISC LLC, our commitment is grounded in integrity, reliability, and real operational expertise. We bring years of hands‑on experience working within high‑risk, highly regulated programs — including OTPs, IOPs, Behavioral Health Agencies, Tribal health Systems, and complex Medicaid/Medicare environments.
We adapt to your needs, whether on‑site or remote, and provide dependable support that strengthens compliance, enhances operations, and protects your revenue. Our promise is to be a trusted partner who delivers measurable, sustainable results and stands with you every step of the way
Our story
RISC LLC was founded to bring clarity, structure, and accountability to healthcare organizations navigating today’s complex regulatory landscape. After more than a decade working inside Behavioral Health, Opioid Treatment Programs (OTPs), Tribal Health Organizations, and multi‑state Medicaid environments, we saw a need for consulting that blends operational expertise with genuine integrity and compassion.
RISC helps organizations build and strengthen programs from the ground up—developing policies and procedures, designing workflows, improving revenue integrity, conducting audits, and aligning operations with Medicaid, Medicare, and state regulatory requirements. Our approach is hands‑on, practical, and grounded in real‑world experience.
Based in New Mexico and Alaska, with consulting experience across multiple states, RISC brings a broad, multi‑jurisdictional perspective that sets us apart from traditional consulting firms. We understand the pressures healthcare organizations face, and we partner with clients to reduce risk, protect revenue, and create systems that are sustainable, compliant, and built to last.
At RISC, we don’t just advise—we help organizations operate with confidence.
Who We Work With
RISC LLC collaborates with a wide range of partners who strengthen the quality and impact of our services. These include national technical‑assistance networks such as the Opioid Response Network (ORN), accreditation bodies like CARF, State Opioid Treatment Authorities (SOTAs), Departments of Health (DOH), Behavioral Health Services Divisions (BHSD), Medicaid/Medicare agencies, commercial payers, Tribal health systems, and community justice programs. These relationships help us stay aligned with regulatory expectations, emerging best practices, and real‑world operational needs — ultimately benefiting every client we serve.
"Delaina played a key role during New Mexico’s 2014 Medicaid transition, supporting Behavioral Health and OTP providers as services moved under the Behavioral Health Services Division. She partnered with Molina, Blue Cross Blue Shield, Presbyterian, and UnitedHealthcare to help providers navigate new billing rules, strengthen service quality, and align policies with real program needs. Her contributions supported the development of methadone services, counseling programs, and community‑based IOP models still used today"
Juan Medina, BHSD New Mexico
"Their deep understanding of Tribal health systems helped us implement critical changes that improved patient care and administrative efficiency. Truly exceptional consulting."
Rodney Gross PHD
"I worked at a clinic that needed help in reorganizing and updating our billing processes for Our Opioid Treatment Program. The clinic was growing
exponentially and the billing department needed a true leader to help us keep pace. We were blessed that Delaina
came on board, she accepted this challenge and exceeded our expectations."
Charlotte Breeden, Courageous Transformation
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Our location
Albuquerque, New Mexico, United States
Eagle River, Alaska, United States
Phone: 505-347-8136
Email: RISC.Consulting@outlook.com
Website: www.riscconsulting.net/