Concept Plus’ specialized procedures identify claim processing errors, overpayments, documentation shortages, compliance with government policy and directives, along with other claim concerns. Our reports provide an independent, impartial review of our determinations and findings. Through our document management system (DMS) application we import, track, and manage claims data allowing for full traceability and history.
Concept Plus offers technical, functional and operational expertise to support all government healthcare agencies. We have provided over a decade of audit and claims management assistance to the Defense Health Agency (DHA) Improper Payment Evaluation Branch as the current TRICARE Claims Review Services contractor (TCRS) evaluating the accuracy of claims payment and payment record coding.
Concept Plus proudly supports the Veterans Health Administration, Defense Health Agency, and TRICARE program.