FWA Remote Nursing Support That Improves Documentation Accuracy and Reduces Utilization Risk

Fraud, Waste, and Abuse (FWA) is a growing concern for health plans, TPAs, and provider networks facing rising costs, tighter regulatory expectations, and increasing pressure to ensure medically appropriate care. While full investigation and enforcement functions sit with SIU teams, early clinical validation plays a critical role in preventing unnecessary utilization. Ameridial delivers specialized FWA remote nursing services focused on documentation accuracy, clinical alignment, and timely clarification from providers and members.

With more than 35 years of healthcare operations experience, Ameridial supports organizations with remote nurses, medically trained reviewers, and multilingual outreach teams. Our model strengthens medical documentation workflows, improves case accuracy, and supports plans in identifying potential waste or misuse before costly downstream impact.