Recover More Overpaid Claims Dollars by Auditing Less

OmniClaim to Host a Webinar on How the Total Claim Score Engine is Changing the Auditing Game

BOSTON--()--OmniClaim, a leader in overpayment recovery, today announced that it will present a free webinar, "Recovering More Overpaid Claims Dollars by Auditing Less,” on Tuesday, February 13, at 1 p.m. EST. This webinar will discuss a revolutionary new method using the Total Claim Score (TCS) Engine that allows for smarter claims selection, reduced audits, minimized provider abrasion, and increased recovery of overpaid claims dollars.

A critical objective for payers is to increase recovery of overpaid dollars without alienating their provider networks. The traditional best practice for doing this has been to review every claim and audit all claims that appear to offer a potential return. OmniClaim’s proprietary TCS Engine enables the company to score every claim and every facility, small and large. It also incorporates a longitudinal database and other key parameters to predict the DRG change probability and financial impact.

“The TCS Engine not only allows us to identify claims that are likely to have been overpaid, but it also allows us to limit the number of audits, making the most efficient use of auditing time and minimizing abrasion,” said Nadine Hays, executive vice president of OmniClaim. “We have spent over a decade perfecting this technology, which enables us to identify nearly six percent of overpayments versus the industry standard of three percent. Better claims selection results in better audit outcomes, and we are looking forward to sharing strategies and best practices for doing so.”

Webinar attendees will learn:

  • How a combination of analytics, machine learning, and human review will yield higher recoveries
  • How onsite audits can eliminate inefficiencies and result in greater savings without added costs
  • How to build solid relationships with providers and streamline the path to payment recovery
  • How embracing complexity and catering to individual hospital preferences can make the difference

For more information and to register for the webinar, please visit: Recovering More Overpaid Claims Dollars by Auditing Less

About OmniClaim
OmniClaim is an industry leader in payment integrity and overpayment recovery, delivering significant financial results while minimizing provider abrasion. We accomplish this through our unique combination of strong relationships with payers and providers, proprietary predictive analytics, and unparalleled subject matter expertise. Our credibility and onsite presence with over 3,000 provider organizations nationwide leads to more successful audits with fewer appeals and minimal provider abrasion. We consistently deliver on aggressive cost containment goals, and our 100% client retention since our inception is the result. For more information, visit the OmniClaim website at


Jayne Seward, 508-861-2838

Release Summary

OmniClaim will present a free webinar, "Recovering More Overpaid Claims Dollars by Auditing Less,” on Tuesday, February 13, at 1 p.m. EST


Jayne Seward, 508-861-2838