Cost Containment
SAIC helps hospitals, clinics and other medical facilities to expedite revenue recovery, increase revenues, and contain the cost of providing care.
Our medical coding and auditing services help to create an accurate record of the patient's medical encounter to speed reimbursement on services rendered. We collect data from patient visits and code them according to exacting standards of timeliness and accuracy to facilitate claims processing. To assure compliance with standards, we also perform audits on random medical counters.
Through our third-party collection services, we work with medical facilities to improve data quality and system issues that have a negative impact on revenue recovery. We not only help to reduce failed billing encounters, but we also offer tools that enable electronic reprocessing and retransmission of rejected bills. These services help to boost collections and improve revenue recovery.
We also assist the Centers of Medicare and Medicaid Services in detecting fraud and abuse in their Medicare Part D prescription drug program. Our team instigates complaints, and monitors and analyzes data to help identify fraud, waste and abuse, while working with law enforcement, prescription drug plans and consumer groups to protect against attempts to defraud beneficiaries and the Medicare program.
Our services include:
- Third party collection revenue recovery
- Claims processing
- Medical coding
- Compliance and audits
- Management and evaluation data
- Fraud and abuse detection
