Our Mission
The mission of SafeGuard Services LLC is to provide our customers with superior value by performing actions to identify, investigate, evaluate, and control program risk. These actions focus on deterring, reducing, and eliminating vulnerabilities in order to protect the program integrity.
Our Story
SafeGuard Services (SGS), a subsidiary of Peraton, performs data analysis, investigations, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse (FWA).
Our experience with FWA analytics has resulted in the referral of thousands of cases to law enforcement and resulted successful criminal and civil prosecution and civil monetary penalties.
SGS is a Unified Program Integrity Contractor (UPIC), an organization that the Centers for Medicare & Medicaid Services (CMS) have contracted with to perform specific program integrity functions.
The SGS teams perform comprehensive problem identification, innovative data analysis, investigation, and research to identify potentially fraudulent Medicare providers, refer resulting cases to law enforcement, and pursue administrative actions to reduce, deter, and prevent fraud, waste, and abuse in the Medicare and Medicaid programs.
SGS’ primary client is the CMS, the federal entity responsible for protecting the Medicare and Medicaid healthcare programs from fraud, waste, and abuse.
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Large Scale – Medicare is the largest healthcare program in the nation and SGS is one of Center of Program Integrity's largest contractors, delivering Medicare and Medicaid FWA services.
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Volumes – SGS protects approximately 77 million beneficiaries, 561,000 providers, and 22 states and territories.
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All Claim Types – SGS delivers integrity services for all provider types, including medical institutions, professionals, suppliers, and drug plans.
Benefits of the program safeguard services offered by SGS include:
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Increased profitability through recovery of past overpayments and through mitigation of future FWA loss
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Ability to conduct predictive analysis to support investigations
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Reduced risk of predatory attacks through strengthened policies and enhanced use of automated prepayment protection
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Reduced risk of adverse publicity and increased potential for positive publicity regarding proactive approach to address FWA
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Collaboration with stakeholders on approach and preventive measures
