From incorrect billings to data theft, waste, fraud and abuse can drain money from your programs in many ways. It not only affects you; it also affects the members paying their premiums, the legislators setting your budget – and the taxpayers funding your programs.
Healthcare Audit & Compliance Solutions from Xerox help you prevent losses and recover funds with our combination of proprietary automated tools, onsite procedures and team of industry experts. Our web-based system delivers the highest degree of automation, transparency and reporting. And we work professionally to preserve your provider relationships. That’s why our clients trust us to conduct 25,000 healthcare audits annually – more than any other company.
Our customizable healthcare audit solutions cover a wide range of health program needs:
- Retail, specialty and mail order pharmacy audits
- Claims overpayment audit and recovery
- HIT, DME and Home Health audits
- Fraud analytics and detection
- HIPAA compliance testing
With more than 20 years of pharmacy auditing and prescription benefits consulting experience, our expertise covers the continuum of healthcare. We make the process faster and more efficient for several healthcare audit types:
- Onsite and Desk audits for retail pharmacy
- Scalable, concurrent claims audit and recovery
- Specialty and Mail Order Pharmacy audits
- Home Infusion Therapy provider onsite audits
- Durable Medical Equipment provider onsite audits
- Home Health provider onsite audits
- Fraud Investigations and SIU support
With Xerox, you can ensure everyone in your healthcare program supports one goal: giving patients the care and access they need – responsibly.