Solutions for integrated program integrity management
CGI has developed a comprehensive package of solutions in our Protect the Payer (PTP) Suite to address program integrity holistically throughout the payer enterprise. Collectively, these solutions leverage cognitive analytics for a highly targeted approach to transaction screening, provider due diligence, preventing fraud and waste, and strengthening cybersecurity.
CGI’s Protect the Payer Suite provides market-leading solutions and services to support the payer, including:
Cybersecurity consulting, solution implementation and managed services
Transactions screening and provider due diligence through our HotScan filtering software
Claims fraud, waste and abuse prevention and recovery with CGI ProperPay
Cognitive analytics/machine learning to produce more reliable, repeatable results
Big data management and analytics
CGI’s PTP Suite can involve engagements in program management, systems integration, solution implementation, managed services and/or business process outsourcing. But before we begin any PTP engagement, we perform a current state assessment to determine which components of the framework can be applied to quickly deliver benefits to protect the payer.