We enable our clients to make optimal strategic business decisions through our proprietary processes for:
Fraud Prevention and Detection
We arm our clients with the resources required to make optimal decisions through our deep and comprehensive
understanding of healthcare – derived from consulting and auditing engagements throughout the healthcare
continuum, independent data-driven analysis and translational application of findings.
We employ proprietary Exploratory Data Analysis (EDA) tools equipped with the latest data mapping and data
mining techniques to track large
volumes of data to detect operational anomalies, improve internal controls, and detect fraud, waste and abuse.
Did You Know?
Healthcare Provider Costs
RAC auditors can and are contracting with private insurance companies to initiate medical necessity audits and general provider audits on behalf of private insurance companies