With healthcare data at its core, MedAssurant’s Claims Integrity™ solution suite is known for its seamless data transfer and integration capabilities. The Claims Integrity™ team, in partnership with client resources, identifies, evaluates, interprets, and loads data in its native formats – accurately and reliably.
To minimize client IT resource requirements, the Claims Integrity™ team stands unmatched in its ease-to-integration process. MedAssurant accepts client data in its native format, thereby eliminating the need for clients to invest time and resources in performing complex data transforms to conform in-house or third-party data to vendor specifications. This customer-friendly approach is but one example of how MedAssurant’s technical superiority delivers cost, time-to-implementation, and ease-of-use benefit to its health plan clients.
Beyond the data import process, MedAssurant guides the entire fraud, waste, and abuse data analysis process to completion, including managing requisite data transformations, performing stringent data integrity checks, and employing state-of-the-art security to ensure privacy, HIPAA, and HITECH compliance. Leveraging these strong data import and processing tools to further optimize results and avoid false positive fraud, waste, and abuse signal generation, the Claims Integrity™ solution suite provides for comprehensive data refreshes on an ongoing basis – maximizing the opportunities to identify and efficiently resolve data quality and financial impact opportunity gaps.
In addition to facilitating a smooth integration of client data into the Claims Integrity™ system, MedAssurant recognizes the importance of providing data exports in client requested formats. From the provision of comprehensive validated case substantiation and related financial report files containing the confirmed findings of the Claims Integrity™ process, to data integrity updates to client EMR and claims systems, risk adjustment filings, and custom process analysis exports, MedAssurant stands ready to meet the data needs of its clients and their customized situations.