Focused on reducing Fraud, Waste and Abuse in the system
Strategic Partnership with AHC to automate your organizational intelligence
Dynamic and flexible Solutions to help organizations navigate continuous changes in the healthcare sector

Our services are focused on improving efficiencies and reducing waste in the healthcare system ensuring that healthcare costs remain affordable

DYNAMIC RULE ENGINES: PREVENTION OF FRAUD, WASTE & ABUSE

We augment your existing Business Intelligence Platforms with dynamic tools to detect fraud, waste. ROI impact on payers loss ratios is almost immediate

AUDIT SERVICES

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.

RESEARCH AND DOCUMENTATION SERVICES

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.

ICD-10 TRANSITION PROGRAM

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.