1. Fraud Detection and Prevention: Our Antifraud Monitoring System TM Software combined with the expertise of our CFEs and CIAs will make a difference in your bottom line. We can also do the recovery.
2. Third Party Administration: We can provide claims processing and adjusting in the States of
of Arizona, California, Delaware, Florida, Georgia, Illinois, Indiana, Louisiana, Massachusetts, Maryland, Michigan, Missouri, North Carolina, Ohio, Pennsylvania, Texas, Washington, and Wisconsin and Utilization Review in Arizona.
Our service includes Fraud Detection and Prevention.
3. SIU Services: Our team of Certified Fraud Examiners will help your company reduce fraud and abuse, and fulfill State and Federal requirements.
4. Claim Investigation: If you suspect fraud or abuse, we'll halp you find out.
5. Revenue Audits: When you believe that you are not paid correctly. let us find out for you.
6. Operations Review: Including process evaluations and Medicare, Medicaid, and HIPAA compliance.
7. Internal Control: Let us help you with your Sarbanes Oxley compliance.
8. Antifraud Training: Let The Fraud Institute train your antifraud team and keep them up to speed.
9. Litigation Support: Our team of experts will be able to help you in cases where fraud could be a relevant issue.
