Payment Integrity & Accuracy

We help health plans get payment accuracy right by going deeper than standard audits. Our human-led, tech-enabled approach uncovers complex overpayment patterns, identifies root causes, and delivers defensible recoveries that hold up under scrutiny, while generating insight that improves accuracy over time.

  • Data Mining
  • Chart Review
  • Itemized Bill Review
  • Upcoding Prevention Program
  • New York State Health Care Reform Act (HCRA)