Aegis helps government payors protect taxpayer dollars while keeping clean care moving. We combine targeted analytics with CMS-aligned clinical and policy review to reduce false positives, accelerate clean releases, and focus effort where risk is real. Our teams detect fraud, waste, and abuse—upcoding/unbundling, ghost billing, abnormal time/volume, credential gaps—and build defensible case files for recoveries and sanctions. We also ensure payment accuracy by testing contracted vs. allowed vs. paid amounts, tuning pre- and post-pay edits, and correcting under/over-payments with a clear audit trail. Finally, we make improvements stick with dashboards and KPIs that monitor impact and keep rules current as policies change. The result is measurable integrity, lower leakage, and stronger public trust.
