Our services are focused on improving efficiencies and reducing waste in the healthcare system ensuring that healthcare costs remain affordable
We augment your existing Business Intelligence Platforms with dynamic tools to detect fraud, waste. ROI impact on payers loss ratios is almost immediate
We build audit tools that will help you implement a 100% audit of key business rules. Our technology helps your auditors all claims rather than 3- 5% sample size. Revenue leakage becomes a thing of the past.
We develop Adjudication manuals benchmarked for accepted best practices around the globe to help claims processors easily define medical necessity of procedures and protocols. Our technology can help you integrate these manuals as automated popups into existing adjudication platforms.
AHIMA approved ICD-10-CM/PCS Trainers & Ambassadors manage the ICD-10 education and transition for your organization. Our training programs are authorized to provide AHIMA CEUs.