Effective Retrospective Reviews for Responsible Care
We know it can be challenging reviewing complicated medical records, policies, billing documents and more. You have cases and organizations to review and need an experienced team to provide you with evidence-based findings. We are just the team to help. We will review your provider cases or government agencies seamlessly, and at a pace to enable timely determinations.
We offer the best-in-class post-pay reviews for medical, healthcare and specialty payers. Your cases will be taken through a rigorous evidence-based auditing process to assure thorough review.
Please contact us for a consultation. We are here to help.
Healthcare Audit Services
Fraud Investigation
Healthcare fraud and improper...
Healthcare Auditing
Our experienced investigation and...
Provider Education
Whether your organization is a...
Our Mission
Improving the health of a nation starts with a healthy and responsible healthcare industry. By taking an evidence based approach to clinical auditing and retrospectively reviewing healthcare providers and their records, Healthcare Fraud Investigations clears the medical system for responsible physician and provider care.
We believe every provider deserves to be reviewed objectively and in accordance with governing medical guidelines.
Our mission is to safeguard the healthcare of every American.
✓ Retrospective Reviews
✓ Provider Audits
✓ Provider Education
✓ Compliance Training
✓ Practice Monitoring
✓ Healthcare Consulting
✓ Compliance Auditing
✓ Compliance Planning