As a leading vendor in providing effective anti-fraud solutions, MAXIMUS works as a strategic partner with Federal, state and local governments in combating fraud, waste and abuse in all health and human services programs, including Medicare, Medicaid and Workers Compensation. The MAXIMUS Program Integrity team has the people, skills and experience to quickly and effectively put into operation the full spectrum of fraud, waste and abuse detection and recovery services. Through the use of sophisticated data mining and expert policy and claims analysis, the MAXMUS team is able to: identify suspect providers and clients; perform in depth desk and field audits, including complex medical reviews across the full range of medical specialties; validate and substantiate questionable claims based on detailed knowledge of applicable regulations, policies and practices; notify providers of overpayments and recovery amounts in claim level detail; and collect those payments and support our client’s as necessary throughout any administrative and/or legal actions pertaining to the recovery process.