Virtual SIU™

Grow your investigative capabilities

LexisNexis® Virtual SIU™ is a fully scalable SIU that joins your team on the front lines in the fight against health care fraud by gathering, analyzing and managing fraud-related data.

LexisNexis Virtual SIU can streamline complex management processes and ensure that SIU activities are compliant with regulatory guidelines. The unit’s proven data mining and case tracking methods save time and money by delivering case resolution results that matter.

Benefits:

  • Reduce exposure to health care fraud and increase actual recoveries
  • Maintain compliance with applicable regulations and requirements
  • Help SIU staff identify and curb health care fraud activities
  • Assist SIU by adding robust investigative resources that leverage proprietary data
LexisNexis® Virtual SIU™ can be deployed as a fully outsourced solution or used strategically to augment overburdened internal SIU efforts.
The unit found a large number of potentially fraudulent activities quickly, LexisNexis began sending “great provider utilization reports.” Among the findings were a number of potentially “egregious billers,” and LexisNexis helped with the probe review of sample cases to validate the identified questionable claims, Paul Peoples, SIU Compliance Officer Peoples .

Contact Us

For more information about our solutions call 800.869.0751 or contact us online

LexisNexis® Virtual SIU™ does not constitute a “consumer report” as that term is defined in the federal Fair Credit Reporting Act, 15 USC 1681 et seq.(FCRA). Accordingly, LexisNexis Virtual SIU may not be used in whole or in part as a factor in determining eligibility for credit, insurance, employment or another permissible purpose under the FCRA. Due to the nature of the origin of public record information, the public records and commercially available data sources used in reports may contain errors. Source data is sometimes reported or entered inaccurately, processed poorly or incorrectly, and is generally not free from defect. This product or service aggregates and reports data, as provided by the public records and commercially available data sources, and is not the source of the data, nor is it a comprehensive compilation of the data. Before relying on any data, it should be independently verified.

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Did you know?

The recently enacted Affordable Care Act provides additional tools and resources to help fight fraud that will help boost these efforts, including an additional $350 million for HCFAC activities.