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About Who We Serve
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Your fraud, waste and abuse services people.
 
 

Integrity Advantage helps healthcare payers fight fraud, waste and abuse by providing consulting, investigation, medical review and other essential services that FWA and Compliance Programs need to succeed.

 

What We Do.

 

 Successful FWA Programs Require Expertise and Perspective.

That’s Where We Come In.

 

Welcome to the Integrity Advantage Difference.

 

Integrity Always Comes First

We put integrity first. Supporting the detection, investigation and prevention of healthcare fraud, waste and abuse for payers is our niche and we love what we do! We hold ourselves accountable and ask challenging questions to deliver value for the long-term success of your organization. “They have a niche and are my trusted counsel. They know how to build SIUs.”

Hands-On, Laser-Focused Expertise

We have been in your shoes and know that fighting healthcare fraud, waste and abuse requires practical experience. We get excited about solving FWA challenges and we do it better than anyone else. “We wanted more hands-on experience and knowledge. Integrity Advantage is the customer-centric way – it’s not one-size-fits-all. They get us and deliver better because they fit in our organization.”

Technology-Enabled Perspective

Whether it’s bringing the right technology to the table or helping you get more out of what you have today, our experience and tech-neutral perspective guides you to the best decisions for your organization. We put technology to work, enabling us to deliver innovative, efficient results for your FWA program. “They worked with me to find a solution, even though it was outside the box.”

Relationships Matter

Whether it’s employees, customers, industry colleagues or partners, we invest in building relationships that last. Our clients trust us. They know they can reach out to us at any time to tackle an FWA challenge together. “They knew the ins and outs. I love working with them because they have all the expertise, this is all they do and they are FUN. I didn’t have to bite my tongue with them. I could be super direct.”

The Small Business Advantage

We are proud to be certified as a woman-owned small business. Our flexible, nimble approach gives you the results you want with the efficiency and personal attention you deserve from a true FWA partner. “Integrity Advantage is a unique women-owned, boutique payment integrity firm with a ton of in-house experience. They are an expert consulting group. If you’re looking for a partner to assess if you have the right team and program, they are your people!”

 

We Are Your Trusted Advisor.

We aren’t just another vendor, we are a true partner. We care about listening to your challenges and taking the time to read between the lines and understand what’s keeping you up at night. We go all in, are generous with our knowledge, and prioritize your needs. Building meaningful relationships comes naturally to us and we are honored to be a strategic partner committed to your success.

What our clients say about us.

“Working with the Integrity Advantage team of experts was a great experience. They’re responsive, knowledgeable, and they delivered exactly the way they said they would. I wish all vendors were this easy to work with. Highly recommend!”

- Southeast Health Plan

“When I was introduced to Integrity Advantage, I was immediately impressed with their knowledge and experience of healthcare investigations. Soon after, we engaged them to do a full assessment of the SIU people, processes, and technology. After the conclusion of the assessment Integrity Advantage outlined a plan of action and we engaged them to provide more hands-on training and investigative support for the team. They immediately got to work and provided a great boot camp training for the entire SIU. With their assistance, we were able to quickly modify the roles and structure of the team and get people performing their new tasks. The transformation began in late October and by early January we were functioning as a new unit and Integrity Advantage has been there every step of the way. They have encouraged the team and provided coaching and development along the way. This transformational journey has not been easy, but it has been achievable with the help of Integrity Advantage. I am thrilled with the work they have done. We are a new team because of them!”

- Angie Leslie, Vice President, Internal Audit & Special Investigations, GEHA

“Integrity Advantage hits that sweet spot of being able to deliver process and outcomes to meet your organization needs, regardless of the size of your organization, risk profile, or the scope of delegated services. Jala, Jess and their team bring the expertise and tools from decades of experience in the payment integrity space and tailor the approach to your needs – from program building, staff augmentation, data mining and lead detection, investigation and clinical review, recovery and reporting. If your payment integrity program need boutique consulting, big firm services and tools, or anything in between, Integrity Advantage doesn’t make you choose – the team is qualified and capable of delivering for your organization’s needs. In addition to its expertise and established methodology for payment integrity, Integrity Advantage sets itself apart from competition with a strong client focus and ability to adapt to changing program priorities, while presenting Clients with an array of options suited for their risk appetite and business and compliance objectives. Every interaction with the team is positive and productive, and I walk away feeling like I’ve learned something new or gained a greater grasp on a complex topic or issue. If you’re SIU or FWA program has needs for a refresh, redesign, or resourcing, I couldn’t recommend any firm other than Integrity Advantage.”

- Britton Whitbeck, Senior Director, Compliance, Lumeris