Beyond knowing what to look for, any fraud elimination organization needs a combination of key elements to be successful in recovering the public money. Let’s review.
Qlarant
Information Services
Easton, Maryland 3,412 followers
Best People. Best Solutions. Best Results.®
About us
For over 50 years, our history has been rooted in commitment to quality improvement for organizations — and quality of life for the people they serve. We began as Delmarva Foundation for Medical Care in 1973 on Maryland’s Eastern Shore as one of the country’s first quality review organizations for the Centers for Medicare and Medicaid. Through the decades, we created entities that became nationally known, including Delmarva Foundation, Health Integrity, and Quality Health Strategies. Today, we’ve brought together these extensive resources and the expertise of more than 500 professionals under one name — Qlarant — serving some of our nation’s most important programs in health, human services, government and insurance & financial services. Qlarant has a strong commitment to protecting the integrity of national and state health care systems in Medicare, Medicaid, and the private sector. In addition, The Qlarant Foundation issues annual grant awards to various programs that provide programs to underserved communities. Qlarant offers a broad range of innovative services: we’re proud to deliver our solutions for Quality Improvement; Fraud, Waste, & Abuse; and Data Sciences & Technology. Our Real-time Predictive Modeling and Data Analytics tools sift through billions of claims and public criminal records to detect aberrant trends and alert users for early investigative and audit actions with high accuracy and performance. We also provide quality review programs, auditing, training, and have an in-house call center ready to meet your needs. Visit www.qlarant.com for further information.
- Website
-
http://www.qlarant.com
External link for Qlarant
- Industry
- Information Services
- Company size
- 501-1,000 employees
- Headquarters
- Easton, Maryland
- Type
- Nonprofit
- Founded
- 1973
- Specialties
- Data Mining, Fraud Investigations, Pharmacy and Health Systems Expertise, Medical Review and Compliance Auditing, Call Center Expertise, Quality Improvement, External Quality Review Organization, Medicaid, Medicare, Utilization Management, Quality Assurance, Developmental Disabilities, Audits, Investigations, Fraud, Waste, and Abuse, Predictive Modeling, CMMI, Predictive Analytics, and RIViR™ Risk Solutions Suite
Locations
Employees at Qlarant
Updates
-
We are currently looking for an IDD Quality Assurance Reviewer in our Tampa, Florida office. Click the link for more information: 🔗https://lnkd.in/gKXP4ee7
-
-
You might have heard a new term recently. Program Integrity is a big part of identifying fraud, waste, and abuse in complex systems.
About Qlarant - What is Program Integrity
https://www.youtube.com/
-
Qlarant Foundation has provided financial support to For All Seasons, Inc.'s Open Access Refill program which addresses the critical need for continuous medication management.
-
Qlarant Foundation funds Food & Friends’ Specialized Nutrition Services which provides medical nutrition therapy and education to clients with HIV/AIDS, cancer, and other serious illnesses.