Advanced Fraud Protection

All RISING staff are required to take and receive certification in a 5-level medical fraud training program. This gives our clients the peace of mind that fraudulent claims are being removed from their medical expenses. With this expertise, RISING has discovered provider offices that do not exist, phantom medical supply companies, unlicensed providers, and providers double billing under multiple facilities.

We compare our providers' data against 600+ licensing, fraud and sanctioning databases, including state license boards, the AMA, the Social Security Administration's deceased list and high fraud address lists. By combining our bill review solution with our expert intervention, RISING's clients have realized an additional 0.35% - 2.5% reduction in their total medical costs over comparable services.