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ANSWERS

Monitor, detect, analyze and prevent fraud, waste and abuse.

Overview

The Answers Suite is an integrated arsenal of medical record analysis and fraud detection applications. Armed with quality control mechanisms, intuitive analytics, and interactive reports, Answers gives you the tools to combat fraud, waste, and abuse.

Detection and Monitoring

Supporting Utilization Review
Various team members can simultaneously examine specific datasets related to diagnosis, payment patterns, medical providers, patients, prescriptions, and demographic and peer-to-peer comparisons.
Encourage productivity
Users can review an unlimited number of medical records and claims with greater speed and accuracy. For added efficiency and convenience, Answers comes with the complete set of industry standard procedures and diagnoses codes (CPT and ICD-9 and ICD-10).
Retrieve several years of active files

Answers is customized to work in conjunction with customers’ database and processing systems. Revolutionary storage capabilities uniquely enable customers to electronically retain active medical records and historical data for 7+ years.

Analysis and Reporting

Reinforce effective team work
The Answers report wizard makes it easier for users to compile, save and share reports within fraud units, and across regions. Reports can also be printed or exported to spreadsheets, pdf, and word (doc) formats.
Get a multi-dimensional view of every claim
The system’s interactive reporting system has data mining and drilldown functionality. Users will be amazed at their ability to easily single out one claim out of thousands. Investigators and analysts will find that documentation generated with Answers, will help them focus on problem areas.
Prepare interactive and in-depth reports
Users can quickly build, graph, and share reports with an ad-hoc report type or based on pre-defined parameters. Answers can identify profiles of utilization and costs by provider, facility, diagnoses, procedures, and location, among others.

Analysis and Reporting

Reinforce effective team work
The Answers report wizard makes it easier for users to compile, save and share reports within fraud units, and across regions. Reports can also be printed or exported to spreadsheets, pdf, and word (doc) formats.
Get a multi-dimensional view of every claim
The system’s interactive reporting system has data mining and drilldown functionality. Users will be amazed at their ability to easily single out one claim out of thousands. Investigators and analysts will find that documentation generated with Answers, will help them focus on problem areas.
Prepare interactive and in-depth reports
Users can quickly build, graph, and share reports with an ad-hoc report type or based on pre-defined parameters. Answers can identify profiles of utilization and costs by provider, facility, diagnoses, procedures, and location, among others.

Videos

Fraud costs government health care organizations like Medicaid and Medicare millions of dollars each year. Watch Bill O’Leary, Microsoft’s Executive Director Policy, Health & Human Services and Ade Adebisi, Ascellon’s President as they discuss the current fraud challenges facing government as well as technology solutions to combat fraudulent activity.

microsoft

Microsoft technology solutions help Public Sector and Social Services organization streamline administration, maximize services, and empower citizens. To learn more about Microsoft’s solutions for government.

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For the past 15 years, Ascellon has provided professional services and software products to help enhance the quality of various government programs nationwide, including Program Integrity, Grants Monitoring and Management, Medical Records and Claims Reviews, and Long Term Care. Ascellon is a proud member of the Microsoft Partner Network. www.ascellon.com.

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ANSWERS is a post-payment claims analysis, data mining and medical record review system that helps agencies identify and safeguard against fraud, waste and abuse. ANSWERS is built on a Microsoft Platform. The software suite combines traditional approaches of data mining with improved tools that allow analysts and investigators to quickly react to emerging trends in potential fraudulent behavior.
www.ascellon.com/products

Answers Managed Care

Fully loaded, managed care focused, medical record analysis application equipped with intake, coding, and extraction capabilities, role-based security, and extensive storage.

Answers Claim Analysis & Reporting

Complete data mining surveillance and fraud detection system has sophisticated algorithms to identify significant outliers, a smart dashboard with Quick Snapshot, and reliable alert system.

Pilot Programs are available to learn more about how Microsoft and Ascellon’s can help your organization combat fraud, waste and abuse. Please contact Sandeep Godavarthi at Call us at 240-487-3001, or sgodavarthi@ascellon.com

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Find out more about how we can help your organization
navigate it’s next. Let us know your areas of interest
so that we can serve you better.

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