Billions of healthcare dollars are lost to the overpayment of claims each year. Duplicate payments, billing errors, adjudication errors, erroneous payments to providers and the list goes on.
GPA employs powerful fraud and abuse technology, special processes and trained personnel to detect and report healthcare fraud detection, validate provider claim integrity and deliver reductions in total claims costs of up to 6%. Real-time savings are found by the pre-payment “red-flagging” of questionable bills as well as advanced analytics to develop profiles, standardize claims data and provide documented and defensible recommendations that greatly enhance auto-adjudication.
By avoiding prepayment, you save, on average, $0.54 cents on every dollar identified as opposed to saving just $0.10 cents (on average) for every dollar identified during retrospective recovery.