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As a leading provider of comprehensive fraud and abuse solutions to federal healthcare system customers since 1993, TrustSolutions, LLC delivers a complete line of health
care benefit integrity services across all federal healthcare benefit lines:
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Fraud Detection, through data warehousing, cross-benefit data matching, complex data mining and behavior analysis. |
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Overpayment Identification and Loss Prevention, through pre-and post-payment medical review, both proactive and reactive. |
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Fraud Investigation, both independent and in support of law enforcement cases. |
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Case Resolution, through referrals to law enforcement and coordination of overpayment recoveries. |
As a Medicare Program Safeguard Contractor, TrustSolutions performs benefit integrity functions in
support of Medicare Part A, Part B, Home Health and Hospice, Medicaid,
and Federally Qualified Health
Centers in 35 states and U.S. Territories. TrustSolutions' program integrity activities have led directly to the recovery and return of more than $1 Billion taxpayer
dollars to the Medicare Trust Fund and to hundreds of civil and criminal convictions and
settlements
for federal and state healthcare system violations.
TrustSolutions is dedicated to delivering high-quality
and cost-effective benefit
integrity
solutions through integrity, personal accountability for excellence,
and
by putting our customers first.
TrustSolutions staff
consists of experienced Medicare and private insurance employees. We have longstanding working
relationships with CMS, law enforcement, and
other external parties in all of the jurisdictions we serve. TrustSolutions
is committed to utilizing data and complex analysis tools, innovative
solutions, and diverse professional expertise to identify program vulnerabilities
and investigate Medicare fraud and abuse situations.
TrustSolutions performs
anti-fraud and abuse work related to Medicare services in the following
parts of the country:
| Medicare
Part A services incurred in: |
| Illinois |
Indiana |
Michigan |
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Wisconsin |
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| Medicare
Home Health & Hospice services incurred in: |
| Illinois |
Indiana |
Kentucky |
| Michigan |
Minnesota |
New Jersey |
| New York |
Ohio |
Wisconsin |
| Medicare
Part B Services incurred in: |
| Illinois |
Indiana |
Michigan |
| Minnesota |
Wisconsin |
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| Medicare
Federally Qualified Health (FQHC) services incurred
in: |
All States & U.S.
Territories, except MAC Jurisdiction 3
(Arizona, Montana, N. Dakota, S Dakota, Utah, Wyoming) |
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