NCI

Information ServicesVirginia, United States201-500 Employees

NCI AdvanceMed, an NCI company, helps U.S. Federal agencies reduce improper payments by fighting fraud, waste, and abuse in entitlement programs. NCI AdvanceMed utilizes analytic techniques and automated tools to stop fraudulent activity before it gets to the entitlement system and to aggressively identify fraudsters who have already made it into the system. Our workforce delivers outcomes that reduce overpayments, improve understanding of policy and payment vulnerabilities, contain costs, eliminate backlogs, and improve documentation for case referrals and overpayment recoveries. Our services combine extensive practical medical coding knowledge with strategic analytical skills and law enforcement experience to ensure every task is conducted at the highest levels of efficiency and discretion. We are a Medicare Program Safeguard Contractor, a Zone Program Integrity Contractor, and a Review of Provider Medicaid Integrity Contractor. NCI AdvanceMed aligns with cutting-edge resources, analytics, and capabilities, allowing for progressive healthcare integrity in today’s fluid environment. Our comprehensive set of services includes the following:

•Data Quality and Management
•Advanced Statistical and Time-Series Analysis
•Case Management
•Fraud Investigation
•Medical Coding Review
•Medical Record Management
•Secure Virtual Desktop Infrastructure Data Center Optimization

NCI’s AdvanceMed staff of nearly 500 employees consists of medical professionals, data analysts, medical record managers, fraud investigators, statisticians, IT support specialists, and program management professionals. Our medical professional staff consists of board-certified physicians, nurses, physical therapists, occupational therapists, speech language therapists, and other allied health professionals. Our past performance includes a broad spectrum of experience, and we have developed a comprehensive approach to fraud detection and prevention that utilizes our extensive resources.

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