The latest software suite includes STARSSentinel, STARSInformant and STARSCommander – all of which leverage the industry's most integrated family of anti-fraud applications and an unparalleled level of detection, automation, in-depth investigative analysis, integrated workflow case management and return on investment.
According to Marcus Collier, senior vice president of General Dynamics Information Technology's Civilian/Homeland Security Solutions division, the STARSSentinel, STARSInformant and STARSCommander either in concert or used separately, reflect 16 years of anti-fraud expertise and serve as powerful tools for health payers in decreasing FWA losses, increasing recoveries, developing provider educational programs and optimizing operational efficiencies.
Specifically, STARSSentinel, part of company’s latest release is an automated, early-warning detection application that enables health payers to screen health insurance claims and detects suspicious patterns. It uses sophisticated rules-based logic, statistical algorithms and familiar Web-based browser interfaces, to find claims containing falsified procedure codes, services not rendered, upcoding, over-utilization and other common fraud tactics found across the full range of healthcare providers.
Also, the STARSCommander is a workload management tool that offers enhanced Web-based interfaces and functionality to increase efficiency, productivity, timeliness and reporting accuracy. It’s customizable and supports all types of business processes required to safeguard against FWA, including fraud investigations, provider audits, medical reviews, policy studies, law enforcement data requests, provider educational programs and other initiatives.
Jyothi Shanbhag is a contributing editor for HealthTechZone. To read more of Jyothi's articles, please visit her columnist page.Edited by
Stefania Viscusi
