AuditPlus: An Expert Audit Module for Payment Integrity and Fraud, Waste, Abuse, and Error integrated within the HCFSPlatform®

Today’s insurance companies not only need to protect their network against fraud, waste, abuse, and error (FWAE) — they need to minimize the impact on their Medical Loss Ratio (MLR) and prevent provider abrasion.

Statistically Valid Random Sampling (SVRS)

Use the HCFS SVRS wizard to save time and create efficiencies within the HCFSPlatform.

Payment Integrity and SIU

Enterprise-wide platform used by PI, Cost Containment and SIU together.

Medical Records

Retrieve and review records to determine coding accuracy all in the same system.

Subject Matter Experts

HCFS SMEs, line level knowledge, detailed reviews, fast turnaround times, and more!

Download the Full AuditPlus™ Product Feature List



Customer Testimonial

“Their tools and their customer service, it’s outstanding — they’re the best in the space.”

 

Sr. Manager, Payment Integrity

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Customer Support & Training

Our committed customer support doesn’t stop at the sales desk.

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Implementation Process Support.

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End user training.

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Access to a robust library of educational materials.

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Monthly webinars.

Need Assistance with Any of Your HCFS Products?