|
|
Investigation and Recovery Services |
| Avoid overpayment of claims with our combination of prospective detection and investigation services which discover errors before the claim is paid and retrospective fraud and abuse services, including expert evidence analysis, interviewing, medical records review, and case documentation to help you recover your losses.
|
Services to help you:
- Prevent payment on erroneous claims
- Discover potentially fraudulent claims
- Recover overpayment losses
|
Products:
|
Hospital Bill Audit Services
|
|
Ingenix Hospital Bill Audit Services help health plans reduce costly inpatient hospital billing errors by revealing duplicate charges for a single service or item, charges for services never performed, and incorrectly calculated room or pharmacy charges. |
| |
|
|
|
Hospital DRG Audit Services
|
|
Hospital DRG Audit Services enable payers to develop an initial provider-level benchmark DRG analysis/audit and institute both retrospective and ongoing audit and recovery programs. |
| |
|
|
|
Prospective Investigation Services
|
|
Ingenix, a pioneer of the pre-payment detection and investigation process, offers a comprehensive service to identify fraudulent and abusive claims for investigation before the claim is paid. |
| |
|
|
|
Retrospective Investigation and Recovery Services
|
|
As an established leader in the field, Ingenix offers comprehensive retrospective fraud detection development and recovery services that include all aspects of the process—from the initial referral receipt to the final recovery settlement. |
| |
|
|
|
|
|
Questions?
To discuss how we can help your organization, please contact us:
engage@ingenix.com or
(800) 765-6713 |
|
|
|
|
