Alivia Analytics
Alivia Analytics is a company that provides AI-powered payment integrity solutions for healthcare claims, featuring services such as pre-payment accuracy, post-pay recovery, and fraud detection.
Company History
Alivia Analytics has an established presence in the healthcare industry, notably expanding its capabilities through the acquisition of SourcEdge. This strategic move has positioned the company to better manage healthcare claims lifecycle tasks, enhancing their overall offering.
Services
Alivia Analytics specializes in AI-powered payment integrity solutions tailored for healthcare claims. The firm delivers a comprehensive platform that covers pre-payment accuracy, post-pay recovery, and the detection of fraud, waste, and abuse (FWA). Their services also include technology optimization, such as claims system modernization and the safeguarding of protected health information (PHI).
Products
The primary product offered by Alivia Analytics is an integrated case management system designed to streamline fraud case handling. This system is a part of their broader suite of AI-powered tools aimed at enhancing payment integrity and reducing instances of fraud, waste, and abuse in healthcare claims.
Certifications
Alivia Analytics has achieved the HITRUST Risk-Based 2-year certification. This certification underscores their commitment to third-party privacy, security, and compliance, further establishing their credibility and reliability in the healthcare sector.
Industry Engagement
Alivia Analytics actively engages with the industry through its participation in events such as the Annual HPRI East Conference. Additionally, the company runs a podcast series that includes episodes like 'Healthcare Fraud Hunter' and 'Clinical Rounds of Healthcare Technology,' which discusses current trends and challenges in healthcare technology.