Integritas Solutions
Integritas Solutions
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    • HOME
    • ABOUT US
    • OUR SERVICES
    • OUR APPROACH
    • CONTACT US
  • HOME
  • ABOUT US
  • OUR SERVICES
  • OUR APPROACH
  • CONTACT US

OUR SERVICES


CUSTOM SOLUTIONS

Integritas Solutions provides a variety of SIU services that will empower your organization and ensure losses due to fraud, waste, abuse and error are minimized. Our team of consultants, subject matter experts, investigators, analytics professionals, clinical reviewers and coders will collaborate to optimize your organization's needs and provide a robust plan to effectuate thorough investigations, which will enhance your organization's ability to recover monetary losses.  We are experienced professionals that will tailor our packages to meet your organization’s needs and goals. Whether your organization requires a fully outsourced SIU or partial SIU services to be performed, know that Integritas Solutions will develop a package that works best for you. 

FWA INVESTIGATIONS

Our Services Include:

  • Complete SIU creation, management, and oversight
  • Pre-pay investigations
  • Retrospective investigations 
  • Identification and review of redundant, aberrant provider submissions 
  • Advanced data mining and predictive analysis
  • Investigation of cases for criminal and/or regulatory referral
  • Overflow or case-by-case consultation and packaging
  • Preparation of anti-fraud detection plans
  • Parts  A, B (DME), C and Pharmacy Part D fraud investigations
  • Clinical review of identified irregular medical, pre-and- post payment claims 
  • Utilize Certified Professional Coders (CPC) and clinical reviewers for assistance in fraud investigations 
  • Outsourced investigative and medical review services
  • SIU activities for investigations: surveillance, subject matter expert (SME), interviewing and courtroom testimony 
  • Conduct FWA & Error Awareness training for employees – CPE Credits

Training, Education, & Development

When It comes To Fighting Fraud - Everyone Is Responsible!

Integritas Solutions knows that fraud training and awareness is not only a State requirement, but an  important component to employee education and development.   


Integritas Solutions can provide:

  • General fraud, waste, abuse and error training, as well as specialized training. 
  • Training can be included  in the employee onboarding process. 
  • Specialized guest speakers from various law enforcement entities at the federal and state levels as well as practitioners in the legal and insurance industries with respect to fraud, waste and abuse schemes, trends and patterns. 

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Integritas Solutions

Email: Info@Integritas.Solutions

Phone: 866-610-0729

Copyright © 2021 Integritas Solutions, Inc.  - All Rights Reserved.

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