Fraud, Waste & Abuse
Whether you are processing claims or releasing benefits, it’s time to modernize your approach.
How many medical records audit requests does your organization receive every day?
Our team of experts specializes in claims processing and adjudication for healthcare payer organizations, public sector agencies, and insurance companies to help them streamline their fraud, waste, and abuse departments and workflows. We work with dozens of clients across the U.S. to help streamline the processes to ensure that claims can be quickly received, processed, and paid or flagged as they come in.
Fraud, Waste & Abuse Use Cases
Eliminate Paper Processes
Reduce human error from manual entry, provide easier search and data retrieval, heighten security and allow for greater visibility for your organization.
Create Usable Structured Data
Data that is migrated and structured into a format that works with your systems makes it more accessible to drive your business.
Think about how many systems you log into per day. Having too many systems and tools to run your organization is not only overwhelming but also time-consuming, confusing, and expensive.
Interconnect Your Organization
Activate change management to break down silos across your organization by creating one centralized source of truth.
Use Data for Decision-Making
Make informed and accurate business decisions based on your historical data rather than just your intuition.
Augment Technical Staffing Needs
Fill in the gaps in your technical team with our fully trained team of experts, dedicated to your projects and needs, on your time and budget.