Reduce Medical Expense — Stop Improper Claims Before They’re Paid
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With healthcare fraud, waste, abuse, and error taking on new and innovative methods every day, traditional investigations can’t keep up — that’s where PreShield™ comes in.
PreShield is a pre-payment detection system focused on the most viable and prospective suspicious claims using real time data.
Designed to work directly with PostShield™ and CaseShield™, the integrated modules work together to improve the success of your SIU team and increase your ROI.
Product Features
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Tailored daily feeds based on claim attributes, staff availability, staff expertise, company initiative, and regulatory alerts and guidance
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Increased ROI by preventing fraudulent claims before they are paid
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Reduced false positives for more efficient investigations of tangible suspicious claims
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