Uncovering fraud, waste and abuse require refined methodologies to advanced analytics and data science applied to program-integrity vulnerability assessments, case management, investigative services, data management and analytics, medical record review and medical record management. Our NCI team provides all of this while playing a key role in improving the integrity of the U.S. healthcare system.
Our specialized skill sets span information technology (IT) services, electronic health records management, data analysis, case management, medical review and investigations. We provide fraud investigation, proactive data analysis, and secure IT infrastructure services.
Our solutions use advanced analytic tools against diverse and high-volume data sets to support “big data” processing in our secure data center. Because our solutions capture comprehensive long-term billing history, leverage near-instant access to medical data when and where it is needed, and automatically identify potential medical practice miscoding, our medical professionals are able to efficiently and effectively uncover fraudulent activities.