Services

Fraud, Waste, and Abuse Management

Managed Care Med Solutions • Coral Gables, FL

  • Review of monthly claim files using proven techniques to ensure that FWA is being managed correctly
  • Over $2MM recovered with previous health plans in fraudulent claims
  • Implementing current knowledge of medications that are considered high risk for fraud into specific claims software to monitor monthly
  • MCM Solutions offers this service directly to Health Plans

 

 

Fraud, Waste, and Abuse Management

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