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PCA need to be more closely monitored! "...fraudulently claimed he provided one-on-one personal services to his son…
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SIU Services

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Insurance companies today face the challenge of protecting their network against fraud, waste, and abuse while not adversely impacting their Medical Loss Ratio (MLR). Moreover, Special Investigation Units (SIU) face reduced budgets and increasingly strained resources. Fully outsourcing or partially outsourcing components of SIU responsibilities serve as a solution to the budgetary constraints. Healthcare Fraud Shield provides Subject Matter Experts trained to: