Self-Funded Organizations


Integrity Advantage partners with self-funded employers and third-party administrators to protect plan assets and strengthen healthcare program integrity. With decades of investigative and clinical experience, we identify emerging fraud, waste and abuse (FWA) risks, conduct targeted reviews, recover overpayments, and strengthen payment integrity controls.

Our support includes:

  • Healthcare fraud, waste and abuse (FWA) reviews

  • Investigative and medical record review services

  • Targeted claims and payment integrity reviews

  • Overpayment identification and recovery

  • Data analysis and emerging risk identification

  • Prepayment and post-payment program integrity support

  • Education and training

 

For more detailed capabilities, please see our services page or let’s talk.