Berwyn Group

Healthcare

Fraud Reduction One Solution Multiple Uses

Healthcare Providers Face Fraud and Data Error Challenges We Can Help

To improve the efficiency and effectiveness of the health care system, the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191, included Administrative Simplification provisions that required the mandated  adoption of federal privacy protections for individually identifiable health information.

The “American Recovery and Reinvestment Act of 2009” (ARRA) signed into law on February 17, 2009 established a tiered civil penalty structure for HIPAA violations.  With so much federal oversight, you need a service partner who shares your data security concerns. The National Health Care Anti-Fraud Association (NHCAA) estimates that the financial losses due to health care fraud are in the tens of billions of dollars each year.

If you have any questions on how our tools might assist you in meeting your healthcare objectives, please contact us.

Policyholder Verify

We can systematically reject false death matches so that your team can focus on investigating highly probable, valid matches. 

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SSN Verification

Verifying Ownership of SSN’s is Quick, Easy and Reliable.

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While Berwyn Group is mostly known for helping plan administrators reduce over-payments in their retirement plans, our best-in-the industry death data can help other departments of your company as well.  The financial benefits of routine death audits do not stop with pension payments.  In fact, hospitals can reduce fraud by performing death audits on their

  • Charitable trusts/planned giving;
  • Fraudulent use of SSN for identification;
  • Improper billing;
  • Correcting admissions paperwork.

 Healthcare providers face similar fraud and data error challenges.  Performing routine death audits on clients will reduce

  • Fraudulent use from medical identity theft;
  • Improper claims because of prior identity theft claim activity;
  • Costs to recover improper payments.