Although layers of program oversight are in place, often the overall effectiveness of those processes is hindered by inexperienced staff. Inadequate training and lack of experience detecting, reporting and appropriately responding to suspect activities put billions of health care service dollars at risk.
IntegrityM is staffed with highly motivated, professional, senior-level data analysts, statisticians, and investigators. Our staff is at the forefront of the health care management field with years of experience conducting healthcare claims analysis, criminal and civil health care fraud investigations, prosecution and administrative recovery referrals, and detecting regulatory and statutory noncompliance.
Integrity Management Services provides consulting and support services in a wide variety of areas:
The first step of our prevention and detection services involves the assignment of a manager, senior investigator, data analyst or statistician, and subject matter expert to each project. Our skilled and highly experienced specialists are assigned to specific projects to ensure an intimate knowledge of their assignment from start to finish.
Conventional analysis or audit approaches can often result in a very limited and incomplete report. At IntegrityM, we incorporate the expertise and experience of our specialists into all of our investigations to ensure thorough, accurate and professional health care fraud reporting.
Our detection, analysis, and evaluation process involves extensive data mining, statistical analysis, regulatory and statutory research, and an in depth provider background review to detect any past or potential fraud involvement. We will find any offenses that violate state and federal statutes or operating standards.
Our services have resulted in the identification of millions of dollars in false or erroneous claims and have been used in criminal and civil follow up actions, health care provider suspensions and administrative recoveries. The positive feedback from our clients and their repeated requests for additional services attests to our competence and professionalism.
If you would like to speak with a specialist regarding fraud, waste and abuse in health care, call (703) 683-9600 today. You can also click here to contact us online.
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