NCI
Information ServicesVirginia, United States51-200 Employees
Based in Reston, Virginia, NCI AdvanceMed operates within the Information Services sector to support U.S. federal agencies in reducing improper payments in entitlement programs by combating fraud, waste, and abuse. The company uses analytical techniques and automated tools to prevent fraudulent activity from reaching entitlement systems and to identify fraudsters who have already entered those systems. Its work aims to reduce overpayments, deepen understanding of policy and payment vulnerabilities, control costs, eliminate backlogs, and improve documentation for case referrals and overpayment recoveries. The organization combines medical coding expertise with analytical and investigative capabilities drawn from law enforcement to perform tasks efficiently and discreetly. It serves government healthcare integrity programs as a Medicare Program Safeguard Contractor, a Zone Program Integrity Contractor, and a Review of Provider Medicaid Integrity Contractor, supported by a sizable, multidisciplinary workforce that includes medical professionals, data analysts, fraud investigators, statisticians, and IT and program management specialists.