Solutions we offer
- Claims processing
- Claims adjudication
- Paper Claims Gateway
- Enrollment management
- Premium billing and collections
- Fraud and abuse management
- Referrals and authorization processing
- Membership validation and COBRA support
- Appeals and grievance processing
- Medical management
- Reimbursement analytics and medical cost containment
- HIPAA compliance
- Coordination of benefits/ RxCOB outreach
- Presentment - Outcome Services
Surety Claims
- Affirmative action claims analysis
- Bond claims analysis
- Bond payment analysis
- Construction project evaluations
- Contract terms evaluations
- Cost-to-complete estimates
- CPM schedule preparation and analysis
- Discovery research
- Dispute issue definition
- Personnel interviewing
- Project management
- Project monitoring
- Reletting services
Project/construction management
- Bid preparation and analysis
- Change order management
- Claims avoidance services
- Closing out contracts services
- Contract awarding systems and analysis
- Design team coordination and management
- Payment services (including progress payment analysis)
- Scheduling
- Staffing services
Construction claims investigation
- Affirmative actions claims preparation
- Claims analysis
- Claims defense analysis
- Claims-to-resolution negotiation and analysis
- Construction performance assessment and analysis
- Contract administration
- Contract interpretation
- Damages quantification and analysis
- Delay impact analysis
- Design performance evaluation and analysis
- Governmental regulations administration
- Merit analysis
Litigation support services
- Affirmative claims preparation
- Claims defense
- Claims to resolution negotation
- Construction performance assessments
- Contract administration preparation
- Contract interpretation
- Damages quantification
- Delay impact analysis
- Design performance evaluation
- Governmental regulations administration
- Merit of claim analysis
Scheduling/cost control/estimating
- Cost control systems implementation
- Cost estimate preparation
- Cost estimate update analysis
- Critical path scheduling
- Monitoring systems
- Quantity surveys
- Scheduling administration
- Scheduling monitoring
Auto
- Policy administration
- Agent and broker portals
- Customer service portals
Casualty
- Policy administration
- Agent and broker portals
- Customer service portals
Life
- Policy administration
- Agent and broker portals
- Customer service portals
Property
- Policy administration
- Agent and broker portals
- Customer service portals
Claims processing
- Claims processing
- Code resolution
- Error resolution
- Front-end editing
- Scalable rule-based frontend edits by Komodo engines
Finance &accounting services
- 6 million transactions per month
- Accounts Receivable - 3.5 million transactions per month
- Approvals
- Check/remittance processing/Check 21
- Invoices
- Pay stubs
- PODs
- Remittances
Human resources outsourcing
- Background and Drug Screening
- Employee onboarding
- HMS – secure single point of access to employee resources including induction and training
- HR management systems – integrated with employee benefits portal
- Screen 360 – employee verification transactions
- Affirmative Action Plan design
- Labor and employment strategy
- Employment litigation and regulatory investigation
- Research
- Statistical analysis
- Reporting
- Testimony
Presentment - outcome services
- 6 million customer contacts annually
- 8 million documents processed per month
- Alert services
- SMS
- Voice
- Customized member welcome packet: Certificate of coverage
- Electronic transaction price management
- EOB/EOP – 1.8 million presentations annually
Support services
- Chat
- Voice
Workers compensation and managed care solutions
- Business process analysis and re-engineering
- Claims processing and automation
- OCR
- Database validation
- Auto adjudication
- Electronic reconciliation
- Electronic document gateway
- Fax
- Imaging
- Mailroom
- End-to-end reconciliation and reporting
- Legacy system integration
- Medical bill processing and data capture
- Transactional content management
- Web-based distribution
- Workflow processing solutions
Data Breach Response
- Notification (mail, email, media)
- Website
- Call center For more info, visit Rust Consulting website
Settlement Administration
- Pre-settlement consultation
- Data management
- Notification (mail, email, media)
- Claims processing
- Fund distribution For more info, visit Rust Consulting website
Paperless mortgage loan origination and
servicing
servicing
- Finance and accounting
- Business process management
- Record retention
- Scanning
- Loan servicing
- Mailroom
- Scanning - loan files and HAMP Mod documents
- Storage
- Trailing and collateral document processing
- Workflow
- Document
Document archiving and payment
- Online repository
- Online payment
- B2B
- B2C
- CSV output
- Dispute management
- Secure site
Transactional content management applications
- Check/remittance processing
- Logging
- Scanning
- Processing
- Same-day deposits
- Check21
- Credit card application processing
- Customized platform
- Sorting and digitization
- Direct data entry
- Key from image
- OCR/OMR
- Secure data transfer
Human resources outsourcing
- Background and Drug Screening
- Employee onboarding
- HMS – secure single point of access to employee resources including induction and training
- HR management systems – integrated with employee benefits portal
- Screen 360 – employee verification transactions
- Affirmative Action Plan design
- Labor and employment strategy
- Employment litigation and regulatory investigation
- Research
- Statistical analysis
- Reporting
- Testimony
docDNA - document lifecycle
- 50 million images per month ingested
- 100 million processed pages per month
- 150,000 boxes stored
- 2.5 billion+ images available for review
- 50,000 registered users
- 700+ customer applications integrated
- Application development
- Business rules-based indices, archives and data conversion
- Document imaging
- Image storage
- Indexing
- Media conversion
- Microfilming and conversion
- Secure online storage and retrieval
Presentment - outcome services
- 6 million customer contacts annually
- 8 million documents processed per month
- Alert services
- SMS
- Voice
- Customized member welcome packet: Certificate of coverage
- Electronic transaction price management
- EOB/EOP – 1.8 million presentations annually
Support services
- Chat
- Voice
Data Breach Response
- Notification (mail, email, media)
- Website
- Call center For more info, visit Rust Consulting website
Settlement Administration
- Pre-settlement consultation
- Data management
- Notification (mail, email, media)
- Claims processing
- Fund distribution For more info, visit Rust Consulting website
Lending and credit
- Objectively evaluating the neutrality of past lending and credit decisions.
- Clearly presenting analyses to regulatory agencies and courts.
- Appropriately determining alleged economic damages by class of loan or on a loan-by-loan basis.
- Periodically monitoring credit decisions in order to detect patterns that have an adverse impact on protected demographic groups. For more info, visit ERS Group website
Construction management/claims consulting
- Bid preparation and analysis
- Change order management
- Claims avoidance services
- Closing out contracts services
- Contract awarding systems and analysis
- Design team coordination and management
- Payment services (including progress payment analysis)
- Scheduling
- Staffing services
docDNA - document lifecycle
- 50 million images per month ingested
- 100 million processed pages per month
- 150,000 boxes stored
- 2.5 billion+ images available for review
- 50,000 registered users
- 700+ customer applications integrated
- Application development
- Business rules-based indices, archives and data conversion
- Document imaging
- Image storage
- Indexing
- Media conversion
- Microfilming and conversion
- Secure online storage and retrieval
E-Content
- Application development
- Co-Sourcing
- Composition
- Content engineering
- Conversion services
- E-Learning
- Product Support
- Quality assurance
Presentment - Outcome Services
- 6 million customer contacts annually
- 8 million documents processed per month
- Alert services
- SMS
- Voice
- Customized member welcome packet: Certificate of coverage
- Electronic transaction price management
- EOB/EOP – 1.8 million presentations annually
Administration & Adjudication
- Notice / claim printing and distribution
- Help line
- Website
- Claim / Petition review and evaluation
- Fund distribution
- Reporting
- Final accounting For more info, visit Rust Consulting website
Litigation Consulting
- Litigation Consulting
- Economic and Statistical Analysis
- Expert Witness Testimony
- Project Management
- Contracts Management
Labor and Employment
- Employment Class Actions
- Compensation Studies
- Hiring, Promotion, Termination Analyses
- Employment Discrimination claims
- Monitoring
- Affirmative Action Plans
- OFCCP Audits
- Wage and Hour For more info, visit ERS Group website
Analytics & Business Intelligence
- COB calculations
- Dispute resolution
- Duplicate claim reduction
- Fraud detection
- Inter-vertical business analyses
docDNA - document lifecycle
- 50 million images per month ingested
- 100 million processed pages per month
- 150,000 boxes stored
- 2.5 billion+ images available for review
- 50,000 registered users
- 700+ customer applications integrated
- Application development
- Business rules-based indices, archives and data conversion
- Document imaging
- Image storage
- Indexing
- Media conversion
- Microfilming and conversion
- Secure online storage and retrieval
E-Content
- Application development
- Co-Sourcing
- Composition
- Content engineering
- Conversion services
- E-Learning
- Product Support
- Quality assurance
Finance & accounting services
- 6 million transactions per month
- Accounts Receivable - 3.5 million transactions per month
- Approvals
- Check/remittance processing/Check 21
- Invoices
- Pay stubs
- PODs
- Remittances
Human resources outsourcing
- Background and Drug Screening
- Employee onboarding
- HMS – secure single point of access to employee resources including induction and training
- HR management systems – integrated with employee benefits portal
- Screen 360 – employee verification transactions
- Affirmative Action Plan design
- Labor and employment strategy
- Employment litigation and regulatory investigation
- Research
- Statistical analysis
- Reporting
- Testimony
Presentment - Outcome Services
- 6 million customer contacts annually
- 8 million documents processed per month
- Alert services
- SMS
- Voice
- Customized member welcome packet: Certificate of coverage
- Electronic transaction price management
- EOB/EOP – 1.8 million presentations annually
Content editorial services
- Abstracting
- Composition
- Content acquisition
- Content aggregation
- Database/CD build
- Indexing
- Proofreading
- SEO services
- Web scraping
Content digitization services
- OCR
- PDF conversion
- Tagging
- XML conversion
Publishing production services
- Co-sourcing services
- Interactive media development
- Parallel publishing processes
eBook development services
- ePub
- Inkling S9ML
- Kindle
- Zinio
Content technology and workflow services
- Application maintenance,
- Conversion and aggregation script development and management
- ETHOS and EOS workflow
- SAAS models
Content customer support
- Multilanguage
- Chat
- Voice
Testing services
- Content testing
- Functionality testing
Claims processing
- 18 million claims annually
- Automated frontend edits by Komodo FCB
- Post processing
- Proactive code/error resolution
Claims adjudication
- 8million claims processed annually
- USD36 million paid/denied
- Support for:
- Managed care/indemnity
- Self-funded groups
Paper Claims Gateway
- End-to-end platform linking providers and payers
- Paper to paperless claims
- Find out more
Enrollment management
- ~ 2.1 million transactions processed annually
- Image and EDI
- Large/small group
- Add
- Term
- Change
- COBRA
Premium billing and collections
- Premium notice
- Letter generation
- Electronic fulfillment
- Check remittance and processing
- Critical accounts payable services
Fraud and abuse management
- Correspondence Processing
- Ongoing letter generation to provider
- Mail receipt
- Open
- Prep
- Scanning
- Publish to FASTRIEVE workflow queue for payer review.
- Notification of lapse of service and overpayment
- Pre and post process auditing
- Fraud or abuse
- Physician billing trends
- Reduction in payment
- Denial of claim
- Hospital bill audit
- Provider or member check reimbursement processing
Referrals and authorization processing
- Receipt of requests via
- Fax
- Phone
- Data validation
- Confirm membership
- Date of service
- Plan coverage
- Provider
- Data deficiency analysis
- Research
- Correspondence
- Correction
- Clearance
- Urgency-sensitive process expedition
- Workflow queues for review and approval routing
Membership validation and COBRA support
- Receipt of requests via
- Fax
- Phone
- Data validation
- Confirm membership
- Date of service
- Plan coverage
- Provider
- Data deficiency analysis
- Research
- Correspondence
- Correction
- Clearance
- Urgency-sensitive process expedition
- Workflow queues for review and approval routing
Appeals and grievance processing
- Provider correspondence handling
- Inbound
- Outbound
- Workflow queues for:
- Investigation
- Internal review
- External review
- Determination
- Check processing and account validation
- Inbound overpayments
- Outbound underpayments
Medical management
- Receipt of requests via:
- Fax
- Phone
- Rapid medical record processing
- Automated
- Workflow queues
- Content management letter generation
- Acknowledgements
- Correspondence
- Communication
Reimbursement analytics and medical cost containment
- EDI and claims re-pricing
- Membership validation
- Dependent coverage
- Outbound provider correspondence
- Predictive modeling
- Provider contract management
- Provider overpayment detection and recovery
HIPAA compliance
- PHI security breach administration
- rapidly deployed call centers
- Notification
- Print and mail fulfillment
- Required HIPAA notifications
- HIPAA 5010 and ICD-10 consulting services
Coordination of benefits/ RxCOB outreach
- COB/RxCOB/Subrogation Survey Processing
- CMS compliancy
- Data extraction
- Reporting
- Survey letter generation
- Print and mail fulfillment
- Receipt of requests
- Fax
- Call center services
- Live
- IVR
Presentment - Outcome Services
- 6 million customer contacts annually
- 8 million documents processed per month
- Alert services
- SMS
- Voice
- Customized member welcome packet: Certificate of coverage
- Electronic transaction price management
- EOB/EOP – 1.8 million presentations annually
Paper Claims Gateway
- End-to-end platform linking providers and payers
- Paper to paperless claims
- Find out more
ICD-10 solutions
Social security disability MER processing
- On-site retrieval and abstraction of charts
- Remote electronic abstraction and documentation submission
- Targeted abstraction to improve quality of information submitted
- Management of full lifecycle of MER retrieval and submission
Electronic medical records consulting and conversion services
- EMR program design consulting
- Transition assistance
- Eliminating hybrid environment
- EMR adoption consulting
- Workflow and repository solutions
- Interim
- Permanent
Consulting support services – claims / reimbursements
- Under and overpayment claim review
- Retrospective
- Concurrent
- Web-based reimbursement calculation engine
Analytics & Business Intelligence
- COB calculations
- Dispute resolution
- Duplicate claim reduction
- Fraud detection
- Inter-vertical business analyses
- Member-Provider eligibility matching
Presentment - Outcome Services
- 6 million customer contacts annually
- 8 million documents processed per month
- Alert services
- SMS
- Voice
- Customized member welcome packet: Certificate of coverage
- Electronic transaction price management
- EOB/EOP – 1.8 million presentations annually
- Revenue cycle management
- Onsite & Remote medical coding services and audit
Analytics & Business Intelligence
- COB calculations
- Dispute resolution
- Duplicate claim reduction
- Fraud detection
- Inter-vertical business analyses
docDNA - document lifecycle
- 50 million images per month ingested
- 100 million processed pages per month
- 150,000 boxes stored
- 2.5 billion+ images available for review
- 50,000 registered users
- 700+ customer applications integrated
- Application development
- Business rules-based indices, archives and data conversion
- Document imaging
- Image storage
- Indexing
- Media conversion
- Microfilming and conversion
- Secure online storage and retrieval
E-Content
- Application development
- Co-Sourcing
- Composition
- Content engineering
- Conversion services
- E-Learning
- Product Support
- Quality assurance
Finance & accounting services
- 6 million transactions per month
- Accounts Receivable - 3.5 million transactions per month
- Approvals
- Check/remittance processing/Check 21
- Invoices
- Pay stubs
- PODs
- Remittances
Human resources outsourcing
- Background and Drug Screening
- Employee onboarding
- HMS – secure single point of access to employee resources including induction and training
- HR management systems – integrated with employee benefits portal
- Screen 360 – employee verification transactions
- Affirmative Action Plan design
- Labor and employment strategy
- Employment litigation and regulatory investigation
- Research
- Statistical analysis
- Reporting
- Testimony
Presentment - Outcome Services
- 6 million customer contacts annually
- 8 million documents processed per month
- Alert services
- SMS
- Voice
- Customized member welcome packet: Certificate of coverage
- Electronic transaction price management
- EOB/EOP – 1.8 million presentations annually
Data Breach Response
- Notification (mail, email, media)
- Website
- Call center For more info, visit Rust Consulting website
Settlement Administration
- Pre-settlement consultation
- Data management
- Notification (mail, email, media)
- Claims processing
- Fund distribution For more info, visit Rust Consulting website
Class Action Settlement /Mass
Tort Administration
Tort Administration
- Pre-settlement consultation
- Notice program design (Kinsella Media)
- Data management
- Notification (mail, email, media)
- Claims processing
- Fund distribution For more info, visit Rust Consulting website
Intellectual property
- Reasonable royalty analysis
- Calculation of lost profits
- Calculation of price erosion damages
- Competitive issues and market definition
- Commercial success
- Convoyed sales
- Royalty audits
- Standard setting For more info, visit ERS Group website
Antitrust
- Merger analysis
- Market definition
- Market power
- Damages and lost profits
- Price simulations
- Competitive impact
- Monopolization
- Price fixing
- Tying or bundling
- Predation
- Collusion
- Dumping
- Standard setting For more info, visit ERS Group website
Expert Witness Services
- Develop statistical strategies
- Perform appropriate statistical tests
- Prepare reports
- Formulate questions for opposing experts
- Illustrate findings with graphs and tables
- Testify at deposition, hearing, or trial
- Calculate damages For more info, visit ERS Group website
Labor and Employment
- Employment Class Actions
- Compensation Studies
- Hiring, Promotion, Termination Analyses
- Employment Discrimination claims
- Monitoring
- Affirmative Action Plans
- OFCCP Audits
- Wage and Hour For more info, visit ERS Group website
Lending and Credit
- Discrimination
- HMDA Data
- Regulatory Compliance
- Fair Lending
- Geographic Lending Patterns
- Damage Calculations
- Expert Testimony
- Monitoring For more info, visit ERS Group website
Litigation Consulting
- Litigation Consulting
- Economic and Statistical Analysis
- Expert Witness Testimony
- Project Management
- Contracts Management
EPAct §179D Tax Deduction
- deduction of up to $1.80 per square foot
- specifically for lighting, HVAC and hot water systems, and building envelope
- this strategy is available for:
- new construction and existing buildings
- tenant-owned improvements
- certain rental apartment buildings
- primary designers of government-owned buildings
For more info, visit Tax Professional Services
R&D Tax Credit
- developing new products or improving existing products
- developing new materials
- building and testing prototypes and models
- developing new or improved software applications
- testing new concepts, experimentation For more info, visit Tax Professional Services
Companies may qualify for the R&D tax credit
if they have invested time, money and resources toward:
Cost Segregation Studies
- any building that has been constructed, acquired or renovated in the last 15 years may qualify
- deduction provides:
- accelerated depreciation benefits
- improved cash flow
- reduction of tax liability
For more info, visit Tax Professional Services
LIFO Consulting
- LIFO
- IPIC LIFO
- Automotive LIFO
- UNICAP 263A for auto dealers
- AMS software For more info, visit Tax Professional Services
Inventory tax strategies include:
