Torch blazes uncharted trails in FWA detection and investigation with data analytics, artificial intelligence, and integrated case management.
This includes any organization that processes billions of transactions of data that are subjected to Fraud, Waste, and Abuse every day, such as offices of Medicaid/Medicare program integrity, Medicaid Fraud Control Units (MFCU), health insurance, workers’ compensation, unemployment insurance, offices of inspectors general, and many more.
From investigations to audits to data analysis to improving economic efficiencies, Torch is designed to accelerate and simplify everyday jobs, and enrich deep explorations for users of any workstyle, role or skillset. It makes everything you do faster, easier and smarter. Torch lights the path from the identification of suspicious billing behaviors to case closure.
Torch is an out-of-the-box, COTS solution enabling rapid implementation and deployment.
State-of-the-art system to detect, investigate, escalate, and mitigate FWA.
Ingests and fuses data from multiple sources.
Transform manual review to instant answers.
Automatic bi-directional integration between data analytics and case management.
Data is prepopulated to optimize resources.
Configurable workflows for all users.
Advanced analytics for electronic visit verification.
Track providers’ claimed visits.
Automatically be alerted to impossible days and more.
Proprietary tools to discover suspicious providers and fraud schemes.
Interactive, dynamic reports from nearly every screen.
Improved productivity and efficiency.
