Integrity Advantage

Member Level: Vendor

Vendor Overview

Description of Services: Integrity Advantage provides niche expertise and services that are laser focused on combating healthcare fraud, waste and abuse (FWA). Our team of subject matter experts offers the rare combination of government, private payer and vendor experience, coupled with exceptional investigative, clinical and program development expertise.

Integrity Advantage leverages industry best practices and trends in healthcare fraud, waste and abuse to provide investigations, medical review, training and consulting services to health plans.


Advisory & Consulting Practice
- Program assessments
- Program build out
- Risk identification / mitigation
- Compliance

Operational & Outsourced FWA Support
- Lead generation and data analysis
- Investigations
- Statistically Valid Random Samples (SVRS)
- Medical Record Review
- Reporting
- Provider education

Training and Education
- SIU Bootcamp
- Customized training programs
- Annual mentorship programs

Primary Service: Consulting
Secondary Service: Utilization/Care/Disease Management

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Toms River
Toms River, NJ 08753-6183
866-644-7799
https://www.integrityadvantage.com/

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Documents
7/13/2023

Presentation: Fraud Waste and Abuse and SIU Peer Group Call: Fraud Schemes, Barriers and Solutions
Integrity Advantage shares their insights on emerging fraud schemes and hot trends. Join us to learn how Alliance member health plans engage in sound processes and structures and innovative solutions for managing fraud, waste, and abuse. Hear how organizations leverage their SIUs or are approaching creating one.

7/13/2023

Recording: Fraud Waste and Abuse and SIU Peer Group Call: Fraud Schemes, Barriers and Solutions
Integrity Advantage shares their insights on emerging fraud schemes and hot trends. Join us to learn how Alliance member health plans engage in sound processes and structures and innovative solutions for managing fraud, waste, and abuse. Hear how organizations leverage their SIUs or are approaching creating one.

8/16/2022

Presentation: Staying on Top of Fraud Schemes: What You Need to Know
Jala Attia, President, and Founder; Jessica Gay, VP, and Co-founder; Integrity Advantage presents tips for how to stay on top of fraud schemes in the Alliance Fraud Waste & Abuse Peer Group.

6/17/2022

Reimagine the Value of your FWA Program.
Integrity Advantage is theway healthcare payers reimagine the value of theirfraud,waste and abuse program. We’ve built our diverse knowledge base through decades of doing - supporting dozens of organizations justlike yours.