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U.S. Department of Veterans Affairs selects CGI for Community Care recovery audit services
CGI ProperPay technology predicts, tracks and identifies improper payments and recovers vital funds for veterans’ healthcare
CGI (NYSE: GIB) (TSX: GIB.A) today announced its selection by the U.S. Department of Veterans Affairs (VA) for healthcare claims auditing and recovery services that will be provided through CGI ProperPay™ – an innovative set of financial waste, fraud and abuse identification and tracking capabilities that have saved billions of dollars for CGI government and commercial clients over the past 25 years.
Under the direction of the Veterans Health Administration’s Office of Community Care (VHA CC), CGI will work to identify improper payments for recoupment, actively review healthcare data for accuracy and pursue the correction of overpayments determined to be in error. Overpayment recoveries benefit VA by returning funds to meet the needs of veterans.
“We are honored to perform this vital service on behalf of our nation’s veterans,” said Michael Garbus, Vice-President, CGI. “CGI’s healthcare compliance team offers proven experience for large federal and commercial clients with results-oriented technology that provides efficient and effective audit and recovery services. For the VA, the result will be recovered funds available for the ongoing care of those who have served and sacrificed for our country.”
Focused on the VA Community Care program (non-VA care providers), audit and recovery efforts under the contract will be powered by CGI ProperPay – a solution that imports claims data, performs advanced analytics to identify improperly paid claims, tracks progress and performs required communication and reporting. CGI ProperPay is configurable to an organization’s specific business rules and reimbursement methodologies. Its predictive analytics, workflow management, rules management and global best practices operate in a secure cloud environment, offering superior elasticity and power.
“We have the experience and expertise to meet emerging requirements in support of VHA transformation initiatives,” added Garbus. “While this contract focuses on a subset of the overall VHA processes and systems, an understanding of the entire process is important to best serve veterans, VHA-care and non-VA care providers.”
About CGI Federal
CGI Federal Inc. is a wholly-owned U.S. operating subsidiary of CGI Group Inc., dedicated to partnering with federal agencies to provide solutions for defense, civilian, healthcare and intelligence missions. Founded in 1976, CGI Group Inc. is the fifth largest independent information technology and business process services firm in the world. Approximately 68,000 professionals serve thousands of global clients from offices and delivery centers across the Americas, Europe and Asia Pacific, leveraging a comprehensive portfolio of services including high-end business and IT consulting, systems integration, application development and maintenance, infrastructure management as well as 150 IP-based services and solutions. With annual revenue in excess of C$10 billion and an order backlog exceeding C$20 billion, CGI shares are listed on the TSX (GIB.A) and the NYSE (GIB). Website: www.cgi.com.
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