With increase in the annual losses incurred by the healthcare insurance industries more so because of fraud, it becomes extremely important to identify those accelerating fraud and abuse problem areas.

At NSI, the Claims Fraud Analysis is designed in a way which covers the entire lifecycle including payer, provider, and patient. This process includes the investigation, evaluation, negotiation, and settlement.

 

Data Capturing
Pre-Adjudication
Post-Adjudication
Contracts Management
Claims Fraud Analysis
Customer Support
Patient Scheduling
Demographic Entry
Patient Registration
Medical Coding
Medical Transcription & SOAP Notes
Payment Posting & Reconciliation
Denial & Rejection Analysis
A/R Follow up & Recovery
Schedule & Appointment Maintenance
Help Desk
Call Center Support
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