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Let's evolve from pay-and-chase and reduce the cost of claims overpayment.

Get in front of ineligible claims due to OIG exclusions, invalid licenses, and more.

We’ve been able to design a daily workflow in our SIU that helps us spot potential fraud before we process a claim and also allows the SIU to identify and recoup claims that were paid to sanctioned or excluded providers.

Jowanna W., Program Integrity Analyst – Special Investigations Unit

Five Monitoring Insights for CMS Program Integrity

Smart, integrated monitoring is the key to mitigating risk and protecting federal healthcare programs. Here are some data insights about the risks threatening CMS program integrity. 

Say hello to Dash.

Smarter monitoring leads to improved compliance and fewer claims to chase.

Continuous monitoring of eligibility requirements ensure you spot FWA faster.

Our matching algorithms spot Medicare/Medicaid exclusions no one else can.

Integrate smarter provider data into your existing systems and workflows for real-time results.

Resources to help Payment Integrity teams grow & succeed.

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It’s time to simplify payment integrity.

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