|
|
|
|
|
It has been estimated that 3-8% of all claims may be fraudulent. Fraud investigations are one of TTG’s many areas of expertise. Medical review is a suitable and necessary means to detect potential fraudulent activity; however, the medical review should be independent, reasonable and objective. Reviews should be conducted by qualified personnel capable of reviewing the records and rendering expert opinions.
TTG provides fair, objective reviews of medical records and billing practices, enabling clients to better detect fraudulent activities. Futhermore, TTG provides clear risk assessment and, if requested, a plan to correct the issues of concern. TTG can also provide assistance in implementing solutions as needed.
In addition to detecting and investigating potential fraudulent claims, TTG's services are designed to prevent accusations of healthcare fraud. Healthcare fraud encompasses topics such as coverage issues, fraud and abuse legislation, CPT, ICD-9, and OPPS/APC coding guidelines. |
|
|
|
