Healthcare Data Analytics Services for Oversight, Accuracy & Action
Turning Data Into Action for Program Integrity
IntegrityM empowers government agencies to extract actionable insights from Medicare, Medicaid, and commercial provider data. These insights support fraud detection, reinforce regulatory compliance, and drive proactive decision-making. With deep domain expertise and a proven methodology, we turn complex data into meaningful outcomes.
- Detect emerging fraud schemes through anomaly analysis
- Identify outliers, trends, and payment inconsistencies
- Enable proactive, data-driven decision-making
- Strengthen oversight and regulatory compliance
Our Approach to Data Analytics
We combine statistical precision, regulatory fluency, and real-world analytics experience to deliver reliable results. Because we understand CMS data structures and integrity protocols, our work is defensible and transparent. In addition, our services span a wide range of advanced techniques.
- Predictive modeling and risk stratification
- Statistical sampling and extrapolation (RAT-STATS, ASEPro)
- Trend and anomaly detection
- Dashboard development and data storytelling
- Root cause analysis and policy recommendations
Tools and Technology That Drive Results
Our proprietary platforms, such as ASEPro, support both automated and non-automated sampling, extrapolation, and advanced modeling. We integrate external tools and apply AI and machine learning models to enhance predictive analytics and anomaly detection.
- Process and analyze high-volume claims and encounter data
- Visualize population-level trends across time and geography
- Generate real-time alerts based on defined fraud or risk criteria
Supporting Federal and State Healthcare Programs
We’ve helped CMS, state Medicaid agencies, and their contractors use data to uncover improper payments, measure impact, and improve oversight outcomes. Our work spans audits, investigations, and program improvement initiatives.
- Medicare & Medicaid program integrity support
- Special investigations and audit analytics teams
Supporting Private and Commercial Healthcare Programs
We help private-sector clients use data to uncover improper payments, reduce fraud risk, and optimize compliance efforts. Through our targeted analytics, we identify discrepancies and enhance payment integrity.
- Payment integrity support
- Fraud, waste, and abuse detection analytics
Why IntegrityM?
Over 20 years supporting Medicare and Medicaid program integrity
Deep expertise in CMS data formats, logic, and oversight needs
Proven toolsets like ASEPro for statistical sampling and extrapolation
An agile, mission-focused delivery model tailored to public and private-sector success
Trusted compliance and security posture for sensitive data handling
Let’s Talk About Your Data Needs
Looking to get more from your data? We can help you uncover what matters, take action sooner, and improve program outcomes.
Ready to unlock the power of your healthcare claims and encounter data? Let’s transform insights into action.
