Program Integrity

Ensure compliance, prevent future inappropriate overpayments, and recover millions, with program integrity services.

 

Alliant’s turnkey approach helps you recover dollars lost from fraudulent or abusive health care billing practices, and employs a sophisticated software system that ensures compliance with state and federal requirements and prevents future overpayments.

We use a more comprehensive approach that focuses on large problems and patterns of potential problems, not just one incident

Abuse prevention with our MedGuard® Audit System

We provide efficient and consistent medical reviews and audits using our proprietary MedGuard® system, which enables us to quickly identify, recover, and prevent inappropriate payments for health care. By using statistical and database techniques to analyze claims and payment data, MedGuard® can detect, investigate, and prevent fraud, waste, and abuse by health plan participants.

You gain access to the information and data needed for program decision-making

Our accurate findings ensure an improved recovery rate

Program Integrity Services

“Excellent! We have benefitted way past the cost of this contract already.”

 

– MEDICAID PROGRAM INTEGRITY

Explore More Alliant Services

Care Management

Clinician-led services that ensure the right care, in the right setting for the right duration by providing medical review services, prior authorizations, case management and level-of-care determination.

Quality Improvement

Deploy a robust, agile platform for broad engagement and use of data to drive quality improvement through use of evidence-based tools and methods to accelerate those improvements.

Education & Training

Working collaboratively with health care providers, we improve quality and outcomes through targeted education and dissemination of best practices in evidence-based medicine. We educate health care consumers to improve health and outcomes.

Government Agencies & Leaders

Health Care Patients & Beneficiaries

Commercial Health Insurers & Employers

Health Care Systems & Providers

Care Management

Health Care Quality Improvement

Program Integrity

Education & Training