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Compliance & Fraud

What sets TRAP apart is our ability to sift through and analyze all client expenditures. We ensure that you are not only fraud free, but fully compliant with all regulatory rules and contractual obligations – the kinds of mistakes that can cost you business, or worse, lead to government fines, jail time and negative headlines. Our VeriClaim system quickly chews through mountains of client data, spitting out expenditures or claims that appear outside the norm. Our analytic team digs even deeper, making sense of the numbers. We show clients where they are breaking government rules on Medicare and Medicaid services, where they are out of step with clinical protocols, where they are not meeting contract demands. We find evidence of fraud. And we show clients how to plug those gaps and recover misapplied money. Some results:
  • For the Commonwealth of Massachusetts, identified more than $16 million in Medicaid fraud.
  • For the State of Florida, analyzed more than two years worth of Medicaid claims and found large quantities of overpayments.
  • For the Centers for Medicare and Medicaid, cracked a $200 million fraud ring.
  • For the State University of New York, analyzed 198 million claims and identified more than $150 million in fraudulent transactions.
"With TRAP's assistance, we have successfully implemented the most comprehensive web and e-mail based transaction reporting system in the payment processing industry."
- CEO and President - Chase Merchant Services, L.L.C.
First Data Merchant Services
University of Massachussetts
Chase Merchant Services
Florida Fraud Ring
Home Health Services
Lab Fraud Ring
Pharmacy Shopping
View our Case Studies >

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15105 N.W. 77th Avenue, Miami Lakes, Florida 33014
T. 305 827.8600 / F. 305 827.0999 info@trapsystems.com