Antifraud Monitoring System Software for:
- HEALTH CARE
Specially designed for HMOs and other Health Insurance Companies. Detects fraud and abuse in inpatient, outpatient, and prescription claims. A special version for Behavioral Care is available.
- AUDITORS
What Internal and External auditors need to point out where to investigate. Renders random sampling obsolete.
-PROFESSIONAL CONSULTANTS
Total flexibility allows it to be tailored to any type of environment.
- SPECIAL INVESTIGATION UNIT MANUAL
A. Policies
B. Procedures
C. Fraud Indicators
D. Reporting
