Key Features
- Predictive Analytics & Machine Learning: Quickly identifies and predicts complex fraud schemes, billing anomalies, and non-compliant patterns, significantly outperforming manual methods.
- Comprehensive Data Integration: Seamlessly merges data from Clinical Audits, DRG Readmission, SNF Reviews, and NEMT claims, ensuring accuracy and holistic visibility.
- Advanced Pattern Recognition: Detects subtle billing irregularities, duplicates, contractual non-compliance, and suspicious provider activities before payment.
- AI-Enhanced Risk Scoring: Prioritizes investigations based on potential savings and compliance risks, enabling efficient resource allocation.
Payment Integrity Solutions in Action
Alivia provides advanced analytic solutions across the pre- and post-payment cycle.
Contact Alivia Today!
Please fill out the form below. No pressure, just a productive discussion with one of our solution experts to address your needs.
ONE PLATFORM for FWA powers earlier action—stopping high-risk providers at the source and sharing insights across the claims lifecycle.
Contact Alivia
Please fill out the form below. No pressure, just a productive discussion with one of our solution experts to address your needs.
