Payment Integrity Practice
Our Payment Integrity Practice allows health insurers to fully or partially outsource the end-to-end management of inappropriate healthcare claims to an experienced and skilled recoveries team.
The team use HIBIS to monitor for fraud, abuse, waste and errors in hospital and medical claims. Once a claim is flagged, our team will represent the client in all aspects of the recoveries process. This includes liaising with the relevant health service provider or facility to validate the alert, through to recovery of any overpayment. This not only boosts the return from recoveries, but also markedly reduces the resources required to capture them.