Recovery audit solutions
Helping clients recover lost revenue
Advanced algorithms to predict hidden patterns and anomalies within the entire claims data universe and identify high-potential claims for recovery
Analytics to prevent fraudulent activity and keep patients safer, easily identify patterns, research claims, and audit data through dashboards
CGI ProperPay meets a broad set of international and industry-specific compliance standards
Technology to identify, stop and recover improper payments to preserve healthcare funds and revenue
We’ve helped clients recover over $3 billion in improperly paid claims.
Our implementation timeframe is 6-8 weeks vs. the typical 6-9 months.
Expert services are provided by clinicians and analysts who understand the business.
Advanced analytical techniques detect trends and patterns that identify improper payment scenarios before they happen and select cases for review.
We understand the needs of, and differences between, payers / insurers, and adapt solution implementation to address your needs.
We help you reduce hospital / provider abrasion with low false-positive rates and effective communication and feedback of results.