Medical Investigation Group, Inc.
Medical Investigation Group


Upcoming Events

ACFE Global Fraud Conference
June 17-22, 2018
Las Vegas, NV
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The Annual Conference For Senior Claims Managers In Insurance Organizations
June 25-27, 2018
Austin, TX
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IASIU 2018 Fraud Conference
September 9-12, 2018
Baltimore, MD
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Benefits

Medical Investigation Group investigations have led to:

  • Provider claim reduction and denial in the tens of thousands of dollars
  • Return on investment: 25:1 (or better)
  • Litigation/recovery results: up to $20 Million
  • Successful arbitration outcomes
  • Numerous claim denials
  • Criminal and civil prosecution of providers, patients and staff reducing chances of continued fraudulent billing

Medical Investigation Group's database of provider violations and offenses is available to coordinate with past and current claim activity.

Savings to the insurance industry have been in the tens of millions of dollars.

Fraudulent providers are deterred from submitting future claims to your company.

Solutions

Client receives written results of investigation. The information can be used in claim adjudication, and/or referral to State or Federal agencies. Other uses may be for official proceedings, prosecution, litigation, censure, or disciplinary action.

Following client notification, MIG also reports all statute and code violations to appropriate government agencies and regulatory boards.

MIG coordinates efforts and activities with client, SIU, claims department, and legal counsel. We provide affidavits, certifications, depositions and fact witness testimony as needed.

Nationwide Database scan of providers for rapid discovery, leading to targeted investigations.