PCI image/jpeg pci-avatar.jpg 11406 2009-09-22T14:53:14-06:00 1 2009-06-22T11:43:24-06:00 Maximize your claims payment accuracy, identify fraudulent providers and reduce your professional claims costs 1 physician fraud, medical fraud http://www2.hcinsight.com/l/1492/2009-12-17/FZP5V Maximize your claims payment accuracy, identify fraudulent providers and reduce your professional claims costs. physicianclaim-insight An estimated 3% -10% of physician and clinical care expenses are lost to fraud, abuse and overpayments annually. By 2013, losses could surpass $63 billion. That's a loss of over $172 million daily. We have experienced positive changed in provider billing habits resulting in significant savings Mary Alice Garcia, BA, CPC Medicaid MCO PhysicianClaim Insight™ is a prepayment fraud, abuse and overpayment prevention service designed to maximize claims payment accuracy, identify fraudulent providers and reduce professional claims costs. This service combines HCI's cutting-edge Code Validator Pro™ (rules-based) and Fraud Finder Pro™ (profiling) software systems with claims review by RN Coding Specialists and suspect provider validation by a Clinical Investigative Unit (CIU) 2009-12-17T09:04:41-07:00