Detect, Investigate, and Prevent Government and Public Services Fraud

i-Sight is the trusted solution used by federal, state, and county government departments to detect, investigate, and report on referrals and allegations of fraud, waste, and abuse including Medicare, Medicaid, and social service fraud cases.

 

"The reporting model is off the charts for my needs as a governmental agency. No one loves statistics more than a governmental agency and I can run reports in seconds when requested. Love the ease of use, very reliable and stable. We had so many fraud referrals we couldn't 'see the forest because of the trees' and we had the cases dying in file cabinets and in peoples offices. Also, it assisted in us developing one nomenclature for an office that had been formed from 3 different departments."

Chris B.
Program Manager Government Administration
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Integrate with Your Detection Systems to Capture Every Alert

Funnel cases flagged by your fraud detection systems into i-Sight to ensure every alert, referral, or tip is captured, categorized into a recipient or provider case, and forwarded for review and assignment for investigation.

Examine incoming recipient cases to identify parties worth investigating and manage cases all the way through to criminal proceedings or repayment. i-Sight automatically populates cases with all claims and scenario-based data.

i-Sight helps state and local governments investigate public services fraud

Identify Fraud Faster Through Case Linking and Similar Parties

Case linking helps you to identify relationships between providers, patients, locations and more, to flag suspicious activities and see correlations or previous history with the case parties.

When a new party is added to a case, i-Sight identifies similar parties and can populate the case file with their information, eliminating duplication of effort and information silos.

 

Document, Review, and Recover with One Tool

In cases of provider fraud, track correspondence with providers, record audit findings, and review investigative findings and recommendations before taking action against a provider or beneficiary.

Use templates to generate repayment agreements and then track repayments to ensure they are completed.

Generate Court-Ready Case Reports

Easy, one-click investigation reports allow investigators and managers to create court-ready case reports in seconds. Built-in and automated civil, criminal, and administrative templates and forms reduce administrative burden.

Save Time and Collaborate on Our Secure Platform

Share information with prosecutors and other stakeholders through secure access to case information and reports. Role-based access ensures safe and easy collaboration.

Identify Trends and Hot Spots with Data-Driven Reports

Capture data within state, county, or other geographical boundaries, as well as by provider, recipient, case type, etc. Use this data to monitor hot spots and areas of higher risk. Build insightful charts, graphs and heat maps to uncover trends and identify opportunities for prevention and detection.

Automate the generation of your required FNS and CMS reports such as the 366B form.

Is Case Management Software Right for You?

Conducting SIU and OIG Investigations with Case Management Software

Learn how case management software help you identify, investigate, prevent, and recover funds lost to government services fraud.

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Case Study

Workers' Compensation Commission

See how the Workers’ Compensation Commission strengthened enforcement, made it easier for state employees and other citizens to report cases of suspected fraud and abuse, and enabled investigators to analyze and detect patterns of suspicious behavior.

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Satisfy the Most Stringent Requirements with i-Sight's Security and Compliance

i-Sight has an indisputable record of compliance with the most stringent security requirements of the health care and human services environment, verified through audits. Web-based or client-install options are available to accommodate any IT security demands. To ensure information privacy, role-based security governs access to investigation information. i-Sight has completed CMS and FNS validations.

Standing Agreements Simplify Procurement

Having successfully won competitive bid processes, i-Sight has standing agreements in place with state and federal government departments that can simplify the procurement process. i-Sight can be purchased directly from authorized and vetted resellers.

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To our customers: We’ll never sell, distribute or reveal your email address to anyone. Privacy Policy