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H.E.A.T.™ (Healthcare Enforcement Action Team)
Long before the 2017 fraud reforms, the robust H.E.A.T. proprietary database has been cataloging and supplying accurate information to support anti-fraud initiatives. H.E.A.T. tracks provider qualifications, uncovers counterfeit identities, and links potential financial interest relationships of other providers creating a causal flow diagram for investigators.
H.E.A.T. collates, among other things:
Non-qualified providers
Licensing gaps
Drug Enforcement non-compliance
Billing and coding violations
Mischaracterization of actual services rendered
Prohibited self or cross referrals
Other fraudulent or abusive practices
From MPN provider vetting to claim strategy defense, H.E.A.T. is ammunition that powers up your SIU program to capture and prevent abusive and fraudulent medical practices.
17216 Saticoy St. #353 Van Nuys, CA 91406 Phone: (818) 453-1309 E-Fax: (480) 247-4139