Thomson Reuters uses its decision support applications and advanced data investigation methods to detect and investigate healthcare fraud, abuse, and waste.
Benefits
Thomson Reuters has helped numerous organizations use data from health claims and other sources to produce actionable information. Our customers have used Thomson Reuters systems and analytical consulting to:
- Profile providers and patients
- Identify and prevent payment problems
- Recover misspent funds
- Improve the quality of healthcare
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Advantage Suite - Employers
Advantage Suite® integrates information from diverse sources and systems, organizes it to support decision making, and enables easy access to information in a flexible, customized application. Its powerful applications are linked to an integrated warehouse of medical and prescription claims, encounters, eligibility, lab results, authorizations, health risks assessments, and performance measures.
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Consulting Services - Employers
Our analytic consulting services help you identify and implement the best course of action to achieve your healthcare program objectives. We help you study an isolated cost and quality-related issue – or conduct a more in-depth analysis of inter-related organizational challenges.
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Medical Episode Grouper
Medical Episode Grouper (MEG) uses risk-adjusted, disease-based methodology to allow users to group patients by clinically defined levels of severity and compare physicians while improving the overall quality of care.