What is a SIU RN?

A SIU RN, or Special Investigations Unit Registered Nurse, is a registered nurse who works within insurance companies or healthcare organizations to investigate medical claims for potential fraud, waste, or abuse. They review clinical documentation, analyze patient records, and collaborate with investigators to ensure claims are valid and meet medical necessity criteria. SIU RNs play a crucial role in protecting healthcare resources and maintaining the integrity of the claims process.