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Detection Software Solutions |
| Ingenix Detection Software helps you prevent inappropriate medical expense payouts and features facility and professional claims editing capabilities, subrogation detection, and a table-driven knowledgebase of edit rules. |
Detection Software helps you:
- Prevent payment on erroneous claims
- Discover potentially fraudulent claims
- Recover overpayment losses
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Products:
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Claims Editing KnowledgeBase
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With clinically sourced and documented edit rationales for more than three million code-to-code relationships, the Ingenix Claims Editing KnowledgeBase improves efficiency and accuracy of claims processing. |
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Facility Claims
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The Ingenix Claims Editing System for Facility Claims automatically reviews and
edits inpatient and outpatient facility claims to streamline claims processing
workflows, reduce reimbursement errors, and improve payment integrity. |
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Fraud and Abuse Detection
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We are established experts in detecting, preventing, and recovering overpayments due to fraud and abuse, incorrect coding, third-party responsibility or liability, and simple errors. We have developed one of the most comprehensive set of solutions available. |
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Ingenix Professional Claims
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Ingenix Professional Claims is an open-architecture claims editing tool that offers full disclosure of rules-based edits. The browser-based application and database expands your claims transaction system’s capabilities with valuable new utilities that reduce manual review and promote more consistently appropriate reimbursement with attendant cost savings. |
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Questions?
To discuss how we can help your organization, please contact us:
engage@ingenix.com or
(800) 765-6713 |
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