CTI - Claim Technologies Incorporated provides health care fraud investigation and health plan fraud investigation, health claim audit, and health claim review services.

Savings Leverage Through Administrative Process Improvements

While risk exposure in claims administration has become well-known, not as well-known is the significant leverage that claims administration processes have on claims expense and service quality. Small amounts of variation in these processes, when applied against millions of dollars in claims, can have material adverse effect. Conversely, with the right kind of management information, there exists the opportunity for benefits managers to turn this leverage to their advantage and realize substantial savings. CTI's services have been developed specifically to meet this need.

In Brief...

Where delivery of the results marks the end of conventional claims audit approaches, CTI's approach also lays a foundation for improved administrator accountability and control. In addition to measuring past performance, we use statistical process control ("Deming/Six Sigma") techniques to provide benefits managers with tools and information to identify the most significant "leaks" and recovery opportunities to pinpoint the underlying causes of these problems to focus administrator attention on the actions needed to fix them and to measure the effectiveness of the actions taken.

A Collaborative Approach to Improved Administrator Accountability

Attributing specific benefits to conventional claims audits is typically very difficult with conventional approaches, and for lack of clear direction, substantive post-audit improvements rarely can be demonstrated. Our approach, on the other hand, provides both benefits managers and administrators with management insights as to costly problems, their causes and cures, and whether corrective actions taken are having their intended effect. No other approach can match the benefits and Return on Investment you can achieve with the audit and control approach of CTI.