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Industries

Healthcare

Case IQ offers powerful and secure case management software for investigating healthcare-related complaints, fraud, and incidents.

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Data lives in one place, versus living on spreadsheets that could end up anywhere. That eliminates a huge risk.”

Ben Farber, Correctional Health Services’ Senior Associate Director for Planning and Analysis, NYC Health + Hospitals/Correctional Health Services
Data Points

Protect Patients & Staff

12%

OF MEDICAID PAYMENTS ARE FRAUD
Each year, 12 percent of Medicaid payouts are “improper payments.”

171 Million

MEDICAL RECORDS BREACHED
In 2023 alone, over 171 million patient records were breached, according to one report.

1/10

OF PHARMACEUTICALS ARE FRAUDULENT
The World Health Organization (WHO) estimates that 1 in 10 medical products in low- and middle-income countries is falsified or substandard.

How Case IQ Helps

Conduct better healthcare investigations with our all-in-one tool

Case IQ lets you securely collaborate on cases and protect patients, staff, and your organization with built-in privacy compliance.

  • Reduce fraud, incidents, and misconduct
    Our healthcare focused solutions can be easily configured to match your company’s processes for investigating healthcare fraud, patient and staff complaints, health and safety incidents, security incidents and information security breaches.
  • Integrate with your existing systems
    Conduct better claim fraud investigations and provider audits. Case IQ can integrate with your existing fraud detection software, hotlines, and other intake mechanisms to ensure every referral is addressed. Recover more money, report on results, and track recoveries efficiently.
  • Stay on top of regulatory requirements
    Case IQ helps you comply with healthcare industry regulations for timely reporting and resolution of incidents and complaints by giving you the ability to run summary reports that show resolution times by incident, region or any other criteria. Our comprehensive investigation reports provide a full account of every action in every investigation, dated and time-stamped.
  • Analyze data to reduce risk
    Once you start using Case IQ, your organization’s case files become a valuable source of business intelligence, containing all the data you need to analyze trends and identify areas of risk. By generating powerful summary reports in our platform, you can see where the problem areas are in your organization and take steps to rectify them through training and prevention.
The Case IQ Platform

Advanced case management tools, at your fingertips

Our acclaimed software adapts easily to your organization’s workflow, so you don’t miss a beat. As soon as you’re up and running, you’ll find day-to-day tasks becoming more intuitive and efficient. You’ll also be able to spot patterns and trends, helping you mitigate organizational risks.

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Resources

Healthcare

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Solutions for Every Organization

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