The total healthcare system waste is estimated to be $600-$850 billion on an annual basis **. Out of which ‘Provider Inefficiency and Errors’ & ‘Fraud & Abuse’ account for approximately $200- 300 billion.

** As per a white paper published by Thomson Reuters in 2009

These manifest in the form of payment variances (Overpayments & Underpayments) running into millions of dollars per each Payer/Provider entity. At a time when there is an increasing emphasis on minimizing healthcare costs & controlling wasteful expenditure, these payment variances are a heavy financial burden.

Why Data Marshall?

• Pioneer in the Offshore Payment Integrity Validation services, with deep domain experience of over 5 years.
• High level of proficiency in the Payer & Provider domains, offering key insights enabling the identification of trends, fraud & abuse and wasteful healthcare expenditure.
• Faster recovery of lost revenue, through precise analysis & corroborating documentation, with an equal emphasis on recovering low dollar amounts
• Deep-dive approach to research & analysis through our proprietary data mining too & predictive analytics

Benefits

• Recovery of millions of lost dollars
• Success based contingency pricing model – Pay on gains!!
• Proactive identification of payment variances, leading to accurate future payments.
• Improve the efficiency & accuracy of the front end processes, through inputs & insights provided by Data Marshall.
• Process Improvements through valuable insights
• Minimal involvement of the client, allowing the client to focus on their core business

Services

• Provider Services
  • Underpayment Recovery services
• Payer Services
  • Overpayment Identification & Recovery

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