GOVERNMENT SOLUTIONS
Our government anti-fraud solutions are focused on program integrity and effectively safeguarding the public trust.
Verify and validate.
From enrollment compliance to adherence to program requirements, we collaborate with and deliver analytics, verification and validation services to key stakeholders, law enforcement and regulators. Our professional staff work with fraud SMEs and data analysts to provide accurate, reliable and actionable information promote program integrity in the fight against fraud in government benefits and entitlement programs. We empower program decision makers to make better payment decisions and ensure receipt of public services by those who are genuinely entitled to them. We also help confirm that providers who render and bill for services are authorized and perform those services according to program rules and regulations. Collectively as an organization and as part of strategic partnerships with government vendors, we stand on the frontline in the fight against fraud, waste and abuse.
Provider Enrollment Verification
Eligibility Verification
Clinical Review
Data Analytics
Field investigation & Onsite Surveys
Transaction Validation
Administrative Actions
Law Enforcement Referrals
Program Integrity
- Medicare
- Medicaid
Managed Care Plan
Social Security Disability
Food and Nutrition Service
Veterans Administration
- VBA
- VHA
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Insurance Solutions
From claim referral to resolution, we provide one convenient place for comprehensive and full-service fraud investigations.
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International solutions
We are backed by an international team of 500 foreign investigators, serving more than 700 company clients in over 100 countries world-wide.
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Health Plan Solutions
Effective and Experienced investigations to recover revenue, ensure compliance and minimize provider abrasion.
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