Payment integrity solutions that begin and end with you saving. Pay Right. Save Money.
Preventing fraud, waste and abuse with the Clinical Touch. HealthCare Insight | A Division of Verisk Health
A Nucleus Solution
CaseTracker INSIGHT
®
Case management for health care claims >
Special Investigation units Require Special Tracking Tools. Prevent Fraud | Improve Accuracy | Reduce Costs
CaseTracker insight
®
When fighting fraud, communication is key. CaseTracker Insight stores information centrally, so various organizations can interact and fight fraud together. A first of its kind, the Message Center allows you to group organizational contacts, post rich data to threads and start community chats with our customer service.
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Prevent Fraud | Improve Accuracy | Reduce Costs
THE
THE
Problem
Solution
Fraud Stats A typical investigation workflow is a complex organism involving multiple people in order to achieve one common goal.
Results >> Save time and increase user efficiency >> Improve case tracking accuracy >> Quickly access claim, member and provider info Features >> Document case progress and status >> Report on case activities and summarize outcomes >> Track daily activity, to-do lists and expenses >> Refer casework to assigned investigators >> Oversee staff activities and up-to-date results >> Compile detailed case statistics for each assignment >> Support enterprise-level reporting and analysis >> Refer cases to state fraud bureaus and federal agencies Next Steps Contact us for a complimentary Cost Reduction Analysis. Call 1.877.619.5557 or email info@hcinsight.com today.
“We found CaseTracker to be a powerful tool that offered the automation we needed to manage claims more efficiently. We couldn’t live without it.” – Jeffery Young SIU Director www.hcinsight.com
35
Why you’ll
Like Us.
CLINICAL REVIEW BY MDs, RNs & DDS’ >
Detailed ad-hoc Reporting >
PREPAYMENT SaaS SOLUTION >
Appeals Support & Response >
TOTAL Payor CUSTOMIZATION >
IMMEDIATE REALIZATION OF ROI >
Real-Time Claims Processing >
Solutions for all Payor Types >
memberships & Accreditations
36
Prevent Fraud | Improve Accuracy | Reduce Costs
how to P
Phone
F
877.619.5557
S
Contact Us. Fax
801.285.5801
Connect With HCI
Twitter | Facebook Linkedin | YouTube
M
E
info@hcinsight.com
R
W
Web
www.hcinsight.com
HCI Fraud Resources
www.profilermag.com www.stophealthcarefraud.com
HealthCare Insight 10897 S. River Front Parkway Suite 200 South Jordan, UT 84095
© 2010 HealthCare Insight – A Verisk Health Company. HealthCare Insight, PhysicianClaim Insight, DentalClaim Insight, FacilityClaim Insight, PharmaClaim Insight VisionClaim Insight, Code Validator Pro and Fraud Finder Pro are registered service marks and trademarks of HealthCare Insight. All other product or corporate names are trademarks or registered trademarks of their respective companies. Fraud loss figures based on Centers for Medicare & Medicaid Services (CMS) spending projections and National Health Care Anti-Fraud Association (NHCAA) loss estimates.
Why you’ll
Like Us.
CLINICAL REVIEW BY MDs, RNs & DDS’ >
Detailed ad-hoc Reporting >
PREPAYMENT SaaS SOLUTION >
Appeals Support & Response >
TOTAL Payor CUSTOMIZATION >
IMMEDIATE REALIZATION OF ROI >
Real-Time Claims Processing >
Solutions for all Payor Types >
memberships & Accreditations
36
Prevent Fraud | Improve Accuracy | Reduce Costs
how to P
Phone
F
877.619.5557
S
Contact Us. Fax
801.285.5801
Connect With HCI
Twitter | Facebook Linkedin | YouTube
M
E
info@hcinsight.com
R
W
Web
www.hcinsight.com
HCI Fraud Resources
www.profilermag.com www.stophealthcarefraud.com
HealthCare Insight 10897 S. River Front Parkway Suite 200 South Jordan, UT 84095
© 2010 HealthCare Insight – A Verisk Health Company. HealthCare Insight, PhysicianClaim Insight, DentalClaim Insight, FacilityClaim Insight, PharmaClaim Insight VisionClaim Insight, Code Validator Pro and Fraud Finder Pro are registered service marks and trademarks of HealthCare Insight. All other product or corporate names are trademarks or registered trademarks of their respective companies. Fraud loss figures based on Centers for Medicare & Medicaid Services (CMS) spending projections and National Health Care Anti-Fraud Association (NHCAA) loss estimates.
HealthCare Insight 10897 S. River Front Parkway Suite 200 South Jordan, UT 84095
Phone 877.619.5557 Email info@hcinsight.com Web www.hcinsight.com