Alivia Analytics at 2025 NHCAA Annual Training Conference.
November 18 – August 21, 2025
Gaylord Opryland Resort & Convention Center
Nashville, TN
Event Website
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Alivia Analytics is a proud Sponsor of the 2025 NHCAA Conference in Nashville, TN, by the National Health Care Anti-Fraud Association (NHCAA). 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 Commercial Health Plans, State Medicaid Agencies, CMS, VHA, DHA, CDC, and RAC programs with:
Solutions
One Platform to Stop Healthcare FWA.
Gain Total Control, 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 Edits, Clinical Audits, and Data Mining to validate medical necessity, policy compliance, and uncover overlooked savings. Outsourced SIU is available when you have limited resources.
- 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
Enhanced Detection: Uncovering Payment Integrity Opportunities That Fly Under the Radar
WED 11/19, 1:00 PM – 2:00 PM
52-hour impossible days, DME shipped to thousands of patients across 25 states from a roadside shack in Florida — these types of schemes often make headlines, but they’re also usually the easiest to detect. This session will explore the use of newer data sources and elements which, when combined with novel techniques, can uncover FWA and payment integrity issues that are frequently missed by more traditional detection methods.
- Wendy Luc-Pepin, Sr. Director of Ideation and Innovation for Payment Integrity, UnitedHealthcare
- Matt Perryman, Chief Technology Officer, Alivia Analytics
Case Studies
Here is a representative sample of our capabilities and client results:
BOOTH & MEETINGS
Visit Alivia at Booth 505. Private Demo Room Available. Cool private venue, Tuesday.
GOING TO NHCAA 2025?