Digital Harbor - Healthcare Fraud Prevention
Digital Harbor Harbor, a pioneer in the field of Fraud Prevention, offers the business' most exceptional end-to-end operational knowledge suite for discovery, examination, evaluation and observing of misrepresentation. With its indigenous Social Enterprise Technology (SET) Universal Platform, a cutting edge in-house stage, Digital Harbor gets online networking ideas into the standard business forms, in this manner empowering consistent coordinated effort inside and between the learning specialists and all the important partners. Digital Harbor changes the undertakings from concentrating on "better exchanges" to "better choices".
Fraud Prevention State of Union
Until recently, most Fraud prevention has solely relied on what is called the “Pay and Chase” model. Providers are enrolled based on limited verification and their claims paid rapidly to comply with prompt payment regulations. All that is required is to be “compliant” with basic enrollment and claims submission rules respectively. On a retrospective basis, a small number of providers are audited or investigated based on customer complaints, external referrals or abnormal utilization discovered from data analysis. Healthcare Anti-fraud solution
Demonstrated in a portion of the biggest US Financial Institutions and Government Intelligence organizations, Digital Harbor now concentrates on U.S. medicinal services fragment. Advanced Harbor is working with Centers for Medicare and Medicaid Services (CMS) to lead robotization based change in rebuilt government contracts (MAC, ZPIC, RAC, MIC). Digital Harbor is the main COTS ECaM stage, being utilized as a part of both Medicare and Medicaid contracts. Digital Harbor has as of now brought about a cost sparing of more than $500 million to its clients in the human services fragment. Healthcare Fraud Prevention
Adequately avoiding extortion, crosswise over enterprises, under the leader of "Know Your Risk" suite, Digital Harbor offers consistent supplier credentialing, prescient examination based misrepresentation location and investigative case administration to the learning specialists. With its cutting edge Social Enterprise Technology, Digital Harbor brings online networking ideas for consistent cooperation inside and between learning laborers and every single pertinent partner. Fraud and abuse prevention
This disentangles complex business exchanges helping in basic leadership and changes the ventures from concentrating on "better exchanges" to "better choices".
Digital Harbor spearheaded the "Know Your Customer (KYC)" answer for the keeping money industry in the US which later turned into a standard crosswise over ventures and areas and perceived as a pioneer in danger administration answers for budgetary foundations. In the wake of entering the Healthcare business in 2009, Digital Harbor has gotten to be one of the quickest developing organizations in this division and is as of now a trusted accomplice of driving Health care associations over the United States.
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