The single solution favored by users for Program Integrity excellence supporting the entire Fraud, Waste and Abuse span.
Torch blazes uncharted trails in FWA detection and investigation with data analytics (including prepay analytics and post-pay review), 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 & payment integrity, healthcare crime units, 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, and mitigate prepay or post-pay fraud, waste, and abuse (FWA).
Ingests and fuses data from multiple sources.
Transform manual review to instant answers.
Automatic bi-directional integration between data analytics and case management for a seamless experience.
Data is prepopulated to optimize resources.
Configurable workflows for all users.
Advanced analytics for electronic visit verification (EVV).
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.
The only solution that offers a unified product suite providing Fraud, Waste, & Abuse Prevention and Program Integrity essentials for the right program integrity culture and practice: the All-Data Platform, Tailored Data Analytics, and Integrated Case Management.
Empowers end-to-end program integrity and fraud, waste, and abuse prevention, including targeted analytics and predictive insight for high-risk areas, provider revalidation, prepay analytics, post-pay analytics, HCBS program integrity, home health aid and personal care assistant (PCAs) program integrity, HomeCare Analytics,™ and waste, inefficiencies, and duplication prevention.
