Healthcare

Helping a complex system operate more effectively with robust technology and experienced people.

As our healthcare system has grown, so has its complexity, especially as it relates to coding, billing and payments. We help government agencies and the commercial healthcare markets identify errors that result in improper payments. Our recovery expertise and data technology allow us to screen millions of medical claims to look for those that need additional review. Our experienced medical team can review and evaluate medical records to determine if further investigation is needed and then follow-up with healthcare providers, insurance companies or other administrators.

With healthcare spending expected to increase by at least six percent annually for the next decade, it is critical to ensure that every healthcare dollar spent is done accurately, properly and efficiently. Our expert staff combined with our state-of-the-art technology focus on identifying errors and/or fraud, waste and abuse to help our clients operate more efficiently.

Performant currently audits billions of dollars in claims annually for its government and commercial customers.
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Capabilities

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  • Medicare and Medicaid Audit & Recovery services
  • Pre payment claims auditing services
  • Proprietary, cross-platform audit software that is customizable
  • Identification of improper payments made by healthcare providers to government institutions
  • Leading expertise in automated and complex audits
  • Proven recovery platform
  • Detection and identification of fraud, waste and abuse
  • Coordination of benefits

A Focus on Healthcare

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In response to the growth in improper payments, Congress now requires federal agencies to measure and reduce the payment rates. A significant amount of those payments is a result of fraud, waste and abuse. Performant is a trusted government contractor helping identify, reduce and prevent improper payments, including the identification of fraud, waste and abuse.