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SAI360 enables a comprehensive approach to regulatory compliance, risk and audit management through a common enterprise-wide platform.
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The Guard is Compliancy Group’s simple and cost-effective solution that addresses every aspect of compliance. Their proprietary Achieve, Illustrate, and Maintain methodology with Compliance Coach support helps to satisfy the entire set of HIPAA, HITECH, Omnibus, and PCI regulations.
Compliance Manager GRC software is purpose-built for the multi-functional IT professional –whether you work as an MSP or as part of an IT Department – to help you reduce risk and improve efficiency while juggling compliance with all your IT security requirements.
Healthcare focused compliance management suite (CMS) offering policy/procedure, safety data sheet management, and more.
Ethico is on a mission to make the world a better workplace by giving leaders who care actionable insight, tools, and services to mitigate risks, engage employees, and build strong cultures. With Ethics & Compliance Intake and Case Management, Sanction Screening and License Check, e-Learning Solutions, and Data Insights, ComplianceLine is positioned as a leading provider in the compliance space. ComplianceLine’s dedication to servant leadership, customer service, and creative solutions make it an appealing compliance option for companies large and small.
LexisNexis® Intelligent Investigator™ is an advanced post-payment analysis tool designed to detect and prioritize cases of fraud, waste, and abuse within healthcare claims. By leveraging sophisticated rules-based analytics, it identifies aberrant patterns indicative of emerging fraud schemes, enabling investigative teams to focus on the most promising leads. Key Features and Functionality: - Prioritized Workflow: Utilizes a Composite Lead Indicator (CLI) to rank leads based on potential savings and recovery probability, ensuring investigators address the most impactful cases first. - Provider of Interest Score (POI): Employs models to detect providers with irregular diagnosis, treatment, and billing patterns, highlighting outliers and augmenting data with public records such as financial, criminal, and medical sanction information. - Comprehensive Data Integration: Aggregates data from multiple sources, including licensure and certifications, to create a unified view of providers and claims. - Advanced Analytics: Applies healthcare-specific rules and predictive analytics to uncover non-obvious connections and detect emerging fraud schemes. - User-Friendly Interface: Features a web-based portal with dashboard summaries, graphs, and charts, facilitating easy navigation and interpretation of data. - Customizable Reporting: Offers hundreds of pre-formatted reports and ad-hoc reporting capabilities, allowing users to generate and prioritize cases without burdening internal IT departments. - Integration with Trail Tracker™: Seamlessly connects with LexisNexis' fraud recovery and case tracking system, reducing the time and effort required to build solid cases for full-scale investigations. Primary Value and User Solutions: Intelligent Investigator transforms the traditional reactive approach to fraud detection into a proactive, efficient process. By automating the identification and prioritization of suspicious claims, it reduces manual effort, minimizes false positives, and accelerates the investigative workflow. This leads to significant cost savings, improved program integrity, and enhanced ability to recover funds lost to fraudulent activities. The system's comprehensive data integration and advanced analytics provide investigators with actionable intelligence, enabling them to make informed decisions and effectively combat fraud, waste, and abuse in healthcare claims.
Ideagen Policy Logic is policy management software that keeps policies and procedures current in one source of truth. Linked staff learning, risk and incident tracking and reporting support compliance in education, aged care and government.
ImageTrend’s software transforms incident data into actionable intelligence to help healthcare and emergency service providers address systemic challenges and significantly impact the communities they serve. Our comprehensive data analytics and integration capabilities help customers streamline operations, shape long-term strategies, and improve outcomes.
Ideagen Healthcare Guardian is healthcare governance, risk and compliance software with over 35 apps for incidents, audits, complaints and quality frameworks. It gives large healthcare organizations real-time oversight across sites.
Origami Risk provides integrated SaaS solutions that simplify risk, insurance, compliance, and safety for better insights and greater possibilities.