Service Investigation

Through our assessments and investigation we intelligently analyse suspicious patterns such as over-servicing, improper prescribing, prolonged treatment, unnecessary diagnostics.

This encompasses medical service misuse, abuse and fraud, including identity fraud, duplications, provider collusion, document alterations, and misrepresentation.

Risk Analysis

We review reports and identify significant risks associated with medical claims. We analyse document trails, historical patterns, and authenticity.

Medical record reviews help us determine the appropriateness of treatment or rehabilitation to facilitate an effective claims management process.

Document Re-Processing

In our document re-processing service, we specialize in medical coding, utilizing alphanumeric diagnostic and procedure codes, including ICD-10 for diagnoses, NRPLI for service tariffs, and NAPPI for medications.

Moreover, we facilitate professional translation services for foreign language claims, ensuring they are accurately coded in English and aligned with approved CPT equivalents

Case Management

Within our case management service, we offer pre-arranged follow-ups for patients with extended hospital stays. We provide regular progress updates and, when necessary, facilitate second opinion consultations to ensure comprehensive care.

Additionally, we proactively engage with patients’ families or employers to address significant concerns, actively seeking opportunities for bill reduction or payment restructuring to alleviate financial burdens.

Diagnostic and Coding

At our organization, we excel in equipping individuals and healthcare providers with comprehensive training in Claims Processing. Medical Claims Assessment, Complete Current Procedural Terminology (CPT) training,

Our training modules encompass:-

1. Medical Claims Assessment
2. Complete Current Procedural Terminology
3. (CPT) training,
4. Coding and Billing,
5. ICD-10 Coding,
6. Electronic Claims Submission,
7. Electronic Data Interchange (EDI), and
8. Foreign Medical Claims Translation.
9. Wellness & Absence Management

Sick Leave

Provide training and education for employers, managers, and supervisors on recognizing signs of sick leave abuse, cost and calculation of sick leave and how to address it effectively. We facilitate consultative workshops on policy development.

Sick Note / Letter

We facilitate employee sick leave management policies in line with the laws and industry regulations, as it is delicate balance between safeguarding the company’s interests and respecting the rights and privacy of employees.

Individual Counselling

We offer tailored individual and counselling services aimed at enhancing personal growth, professional development, and emotional well-being. signings are confidential, goal-oriented, and aligned with organizational wellness strategies

Mental Health in the Workplace

We recognize that employees face life-altering stressors, from personal health and wellness, work-related induced or social environment stimulated that can impact their mental well-being and workplace productivity. Our wellness programs are designed to support organizations through a workplace mental health program.

Team Coaching

Our team coaching programs focus on building psychological safety, enhancing communication, and promoting collective well-being. Through structured group interventions and wellness focused team engagements, we support organizations in fostering a culture of mental health awareness, collaboration, and sustained productivity.

Organizational Excursion Retreats

We facilitate structured excursions that offer employees a therapeutic break from routine, promoting emotional healing, stress relief, and team cohesion. Whether it’s a tour, expedition, outing, or excursion, our retreats are carefully planned. There is a number of physical engaging activities and games-oriented therapies

Employee Assistance Program (EAP)

We support employers in implementing structured Employee Assistance Programs designed to help employees navigate personal, psychological, or health-related challenges that may affect their workplace performance. Our approach emphasizes early intervention, confidentiality, and professional support services to promote employee well-being and sustained productivity.

Temporary Incapacity Management

We facilitate the coordination of medical and occupational assessments for employees experiencing ill-health or temporary disability. Our objective is to support the employer in implementing fair and reasonable workplace accommodations, ensuring compliance with labour laws and promoting inclusive workplace practices.

Workman’s Compensation Coordination

We liaise with the Department of Labour to guide and support employers in managing claims related to employee injuries or disabilities arising from the workplace. This includes ensuring timely submissions, accurate documentation, and compliance with statutory compensation obligations.