STRATEGY. PERSISTENCE. RESULTS.
When Planned Objectives Align With Tenacious Professionals
Maximum Recoveries Are Obtained
STRATEGY. PERSISTENCE. RESULTS.
When Planned Objectives Align With Tenacious Professionals
Maximum Recoveries Are Obtained
OUR GOAL IS SIMPLE...
To ensure we maximize our clients’ recoveries and develop a superior Special Investigations Unit (SIU). We will accomplish this through a comprehensive health care fraud investigative platform that will identify suspicious claims through red flag audits that prevent monies from being paid out, as well as conducting in-depth retrospective investigations of paid claims in an effort to recoup overpayments.
WHO WE ARE
We began our Investigative Consulting and Educational Awareness company in June of 2011 and for the last 10 years we have been providing our clients with quality fully or partially outsourced SIU Solutions, as well as Training, Development and Credit Courses.
With an average of 20 years serving in law enforcement, insurance investigations and in the law, our experts are ready to provide you with comprehensive, full-service, health care fraud investigations and assure you are in compliance within the insurance industry. Our SIU is comprised of certified and licensed experts that will tailor a streamlined investigation and compliance plan that ensures costs are minimized when making your decision to outsource your SIU responsibilities.
WHAT WE DO
At Integritas Solutions we provide thorough investigations that yield solid results by leveraging our collaborative experience in law enforcement, clinical investigations, educational awareness, coding and Medicare Parts A, B (DME) C and pharmacy Part D investigations. In addition, we conduct anti-fraud education and training specifically designed for each state’s laws, as well as internal investigations training seminars for health care organizations that need training to conduct internal investigations.
- OUR SERVICES INCLUDE -
- Lead Detection & Triaging
- Medical Record Clinical Review
- Overpayment Recovery
- Law Enforcement and Regulatory Referrals
- Health Care FWA Database
- Case Management Tracking System
- Fully or Partially Outsourced SIU Components
- Investigation of Identified FWA Cases
- Training & Development
WHY CHOOSE US
By employing the most talented professionals across all lines of business in the law enforcement and insurance industries, we have developed a robust fraud, waste, abuse, and error program that ensures losses are minimized and recoveries are maximized.
When selecting Integritas Solutions to outsource the functions, duties and missions of the SIU, you will have the confidence in knowing that we are only an email or phone call away. Each of our partners are assigned a dedicated, "go to" contact that will serve to ensure your questions, needs and concerns are met immediately.
In addition, each partner will have the satisfaction of knowing a dedicated team of professionals is collaborating daily to ensure your SIU is operating efficiently and cases are progressing towards maximizing the three "R's": Recoveries, Recoupments and Referrals.