Increase recoveries from health and human services fraud

Trusted solutions for government departments to detect, investigate and report on Medicare, Medicaid and other program fraud, track recoveries and manage risk.

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trusted by county, state and federal organizationssecure and compliant solution

Provider fraud

Investigate and recover more

In cases of provider fraud, track correspondence with providers, record audit findings, review investigative findings and recommendations before taking action against a provider.

Use templates to generate repayment agreements and then track repayments to ensure they are completed.

See trends

deep reporting to identify hot spots

Generate powerful customized reports to uncover trends and identify opportunities for prevention and detection. Capture data within state, county or other geographical boundary, as well as by provider, recipient, case type, etc. See hot spots and areas of higher risk through charts, graphs and heat maps, to better target investigations.

save time and collaborate

court-ready case reports

Built-in templates and easy, one-click investigation reports allow investigators and managers to generate court-ready case reports in seconds. Share information with prosecutors and other stakeholders through secure access to case information and reports.

identify fraud faster

integration and case linking

Integrate with your fraud detection systems to ensure every alert, referral or tip is captured, categorized into a recipient or provider case and forwarded for review and assignment for investigation.

Examine incoming recipient cases to identify the fraudsters worth investigating and manage cases all the way through to criminal proceedings or repayment. Case linking helps you to identify relationships between providers, patients, locations and more, to flag suspicious activities and see correlations.

case study

workers' compensation commission

Find out how one i-Sight customer strengthened enforcement, made it easier for state employees and other citizens to report cases of suspected fraud and abuse and enabled investigators to analyze and detect patterns of suspicious behavior.

Read the case study

Trusted Solution

Secure and Compliant

i-Sight has an indisputable record of compliance with the most stringent security requirements of the health care and human services environment, verified through audits. And we are trusted by county, state and federal organizations to comply with their security needs. Web-based or client-install options are available to ensure we can accommodate any IT security demands. To ensure information privacy, role-based security governs access to investigation information.

Secure Access to Case Files

Collaboration

In criminal cases, it’s easy to collaborate with prosecutors by granting them secure access to case files or investigation reports in i-Sight, no matter where they are.

STANDING AGREEMENTS

EASY PROCUREMENT

Having successfully won competitive bid processes, we have standing agreements in place with state and federal government departments that can simplify the procurement process.

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Take the Next Step

Let us show you how i-Sight can help your department conduct better investigations, boost recoveries and prevent public services fraud.

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