Forensic Audit Platforms
Precision Audits. Proven Results.
ADHC Underpayments
Our advanced forensic audit platform identifies and recovers missed revenue from underpayments in healthcare claims. Using intelligent analytics and deep payer contract expertise, we uncover hidden discrepancies and deliver actionable insights to maximize your reimbursements.
Cost Remediation
Our Cost Remediation Audit uncovers hidden inefficiencies and non-compliant charges across your vendor and operational spend. We identify opportunities for immediate cost recovery and long-term savings, ensuring you only pay what’s accurate, fair, and contractually obligated.
Medical Billing & Coding
Our Medical Billing and Coding Forensic Audit platform provides a comprehensive review of your billing and coding practices, identifying inefficiencies, mistakes, and compliance risks. By employing sophisticated auditing technology and deep industry knowledge, we ensure accurate reimbursements, minimize risk, and improve overall revenue integrity for healthcare providers.
Prescription Benefit Manger
Our PBM Forensic Audit platform is designed for self-insured companies to uncover discrepancies, overcharges, and inefficiencies in prescription drug benefits. We analyze plan designs, pricing, and contract terms to ensure accurate reimbursements and optimize prescription benefit spend, driving cost savings and ensuring compliance with your unique healthcare plan needs.
Interested in our services? We’re here to help!
Our team is ready to provide expert guidance tailored to your needs. Whether you're looking to optimize healthcare operations, ensure compliance, or recover lost revenue, we offer solutions designed to deliver results. Let us help you navigate the complexities of healthcare management and unlock new efficiencies.
