Commercial Payers

Integrity Advantage supports health payers with Medicaid, Medicare, Federal Employee Health Benefits, and commercial lines of business as well as self-funded payers. Regulations require that health payers have an effective program to control FWA including implementing policies and procedures to identify and address improper payments. We provide the support needed to meet these regulatory requirements and enhance your overall FWA program including:

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Trust us to help you build or enhance your SIU and fraud, waste and abuse program.

  • In-depth assessment of SIU operations including people, processes and technology
  • FWA program development
  • Education and training
  • Data mining and analysis
  • Investigations
  • Clinical reviews and audits
  • Compliance and regulatory support

For more detailed capabilities, please see our services page or let’s talk.