Appteon consultants have been involved in addressing Program Integrity in following areas:
- Prevention–addressing opportunities for improper program administration and use.
- Detection–implementing measures to identify and mitigate opportunities for improper program use or implementation that are regularly applied to program operations.
- Correction–executing immediate action to make program repairs if program integrity has been compromised.
- Prosecution–reporting of abuses to law enforcement officials.
Appteon consultants have in-depth experience of using fraud detection tools like Fraud-X to identify major areas of fraud in insurance and medical claim industry.