Top 10 Alternatives to Quatros Safety Rx Recently Reviewed By G2 Community
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SAI360 enables a comprehensive approach to regulatory compliance, risk and audit management through a common enterprise-wide platform.
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.
Healthcare focused compliance management suite (CMS) offering policy/procedure, safety data sheet management, and more.
Simplify the way your healthcare organization operates with intelligent, time-saving software solutions and services. Work smarter, not harder.
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 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.
With an exclusive focus on data security and privacy for digital health, MedStack brings together a turnkey cloud developer experience with industry-proven security architecture, inheritable policies, evidence-generation tools for certifications, and a seamless system for responding to vendor security questionnaires on your behalf.
EPICompliance provides HIPAA and Healthcare Compliance tools packaged as a software for Healthcare Businesses, making it easier for them to get and stay compliant with US Healthcare regulations.
EPS is the solution used in thousands of pharmacies, including independents, regional and national chains, mail order facilities, central fill locations, specialty pharmacies, and pharmacies serving out-patient and long-term care facilities.