Billions of dollars are lost every year to improper healthcare payments.

CGI can reduce those improper payments for payers by combining technology with subject matter expertise to identify errors, recover overpayments and ensure payment accuracy.

Since 1990, we have been a trusted partner of healthcare payers. We bring to you a combination of investigative passion, subject-matter expertise, and data-driven analytics solutions to identify and address trends and behaviors that drive fraud, waste and abuse.

Superior results

  • Consistently deliver 96 cents on the dollar of every overpaid dollar identified
  • Savings rates of 60% or greater, significantly greater than the market average
  • Trusted partner with 30+ years of experience 
  • Over $3 billion recovered for our customers

Continuous concept development

  • Constantly add new scenarios and edits to monitor the ever-changing payment integrity landscape
  • Implement new coding guidelines
  • Undertake prompt action on schemes related to global health concerns
  • Prioritize audits with highest ROI potential

Provider coordination

  • Reduce provider abrasion/concerns
  • Prioritize balance between recoveries and provider relations
  • Establish a provider portal for efficient transfer of documents and audit status reports
  • Enable results that assist in obtaining more favorable contractual terms

The relationships we build with you and your provider community not only minimize provider abrasion but ultimately improve coding
accuracy through partnership and education.

Learn more in our factsheet.