Alivia Analytics at 2025 NAMPI Annual Conference
August 24 – August 27, 2025
Marriott St. Louis Grand
St. Louis, MO
Event Website
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Alivia Analytics is a proud Sponsor of the 2025 NAMPI Conference in St. Louis, MO, by the National Association for Medicaid Program Integrity. During this four-day event, we will discuss and demonstrate how Alivia helps address complex claims challenges, combining AI-powered technology, expert services, and integrated analytics to reduce improper payments and recover more, faster. Our Alivia 360™ platform uncovers what rules-based systems miss, identifying hidden risks in the “Gray Zone” between error, fraud, waste, and abuse to deliver earlier detection and stronger results across the pre- and post-pay spectrum. We support State Medicaid Agencies, CMS, VHA, DHA, CDC, RAC programs, and commercial payers with trusted analytics and proven integrity solutions.
Solutions
One Platformto Stop Healthcare Fraud.
Gain Total FWA Control, From Pre to Post Pay.
- Early FWA Detection that stops high-risk providers at the source with Pre-Pay Preventive Analytics and configurable rules.
- Post-Pay Recovery Analytics that surfaces hidden leads, accelerates SIU investigations, and manages case workflows—supported by Clinical Audits and Data Mining to validate medical necessity, policy compliance, and uncover overlooked savings. Outsourced SIU is available when you have limited resources.
- Recovery Audit Contractor (RAC) programs with expansions into the southeast region supporting state Medicaid RAC programs.
- Collaboration of data-sharing analytics for bordering Region 8 populations in Colorado, Utah, and Wyoming. Utilizing both pre- and post-payment analytics, we have the resources to support your Payment Integrity programs.
- Enhance operational performance with advanced Data & IT Transformation services that streamline data integration, modernize legacy systems, optimize claims platforms, and safeguard PHI across environments.
One Platform
unifies solutions and shares insight and actions at any point in the claims lifecycle.
VALIDATED BY EDITS, AUDITS & MODELING
Breakout Session
Shifting Fraud Detection Left: The AHCCCS Pre-Pay Innovation Story
MON 8/25, 11:30 AM – 12:30 PM
Traditional fraud detection models often rely on post-payment investigations or manual prepay review lists that strain limited payer resources. The Arizona Health Care Cost Containment System (AHCCCS), Arizona’s Medicaid agency, has partnered with Alivia Analytics to implement a first-of-its-kind pre-pay fraud detection platform that blends expert oversight with dynamic machine learning models that evolve alongside provider behavior. The solution automates suspect queue management, minimizes examiner workload, and leverages innovative pre-pay fraud edits that reject or pend high-risk claims prior to adjudication. This session will explore the business drivers, platform design, early implementation experience, and how AHCCCS is redefining Medicaid fraud detection to act earlier and more efficiently.
- Vanessa Templeman, CPC, Inspector General, Arizona Health Care Cost Containment System (AHCCCS); NAMPI President
- Matt Perryman, Chief Analytics & Insights Officer, Alivia Analytics
Case Studies
Here is a representative sample of our capabilities and client results:
BOOTH & MEETINGS
Visit Alivia at Booth 8. Private Demo Room Available. Hospitality Suite All Day, Every Day.
GOING TO NAMPI 2025?
