Top 10 Alternatives to RiskQual HAS Recently Reviewed By G2 Community
AI can help you find the answers. G2 helps you trust them.
Connect G2 to Claude or ChatGPT for answers grounded in G2's trusted reviews, comparisons, and pricing from real user insights.
How it works
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.
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.
Simplify the way your healthcare organization operates with intelligent, time-saving software solutions and services. Work smarter, not harder.
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.
SafeQual provides an enterprise software application, sold as a software-as-a-service, built from the ground up to reduce the complexity and resources needed by healthcare organizations to pursue more challenging levels of quality and their related culture and methodology needs. The software includes feature functionality that makes safety, quality, and risk processes more lean and accountable; provides an environment for knowledge workers to make data and culture-driven decisions; and makes data more actionable as the software helps all the people involved in clinical quality work better together, with more automation, and with work product and data always inspection ready.