Med-Prov supports Federal and State Healthcare Integrity contractors and government agencies

  • Identify Potential Aberrant provider behavior using predictive modeling, case management, Profiling, and pattern recognition.
  • Use Effective Healthcare Technology to develop, manage, report Medicare/Medicaid Fraud, Waste, and Abuse.
  • Investigate potential fraudulent behavior using industry standard procedures and sound Medical Review Professionals.
  • Identify over $10M of Healthcare Fraud protecting Medicare Trust Fund.
  • Integrate legal team to work with OIG,AUSA, and other government agencies to develop effective cases to pursue.
  • Educate and provide outreach training programs to the provider communities, and other government contractors by preemptively safeguarding against overpayment, false billing practices.