Legacy SIU tools bury investigators in noise. Pamastay surfaces the schemes that matter—orphan DME, billing anomalies, provider outliers, and coordinated fraud patterns—so your team can act before payment.
Purpose-built tools for healthcare program integrity, not generic analytics.
Focus your team on the highest-impact cases. Prioritization based on recovery potential, evidence strength, and case complexity.
Complete billing history, peer comparisons, and network relationships for every provider. Context that accelerates investigations.
Drill into claim details, related services, and supporting documentation. Everything you need to build a case in one place.
Assign cases, track progress, document findings, and manage the full investigation lifecycle from alert to resolution.
Generate complete documentation for MFCU referrals, OIG reports, and internal audits with full evidence trails.
Track overpayment identification, recovery efforts, and program ROI. Demonstrate the value of your program integrity investment.
Investigation workflow that prioritizes efficiency over alert volume.
ML-driven prioritization surfaces the schemes most likely to result in recovery or referral. Less noise, more actionable investigations.
One-click access to complete provider profiles: billing history, peer comparisons, flagged claims, and network relationships.
Assign alerts to investigators, track case progress, document findings, and manage referrals—all in one workflow.
Generate MFCU referral packages, OIG report formats, and internal audit documentation with complete evidence trails.
Set your own thresholds for what constitutes an outlier. Specialty-specific parameters, regional adjustments, and plan-specific configurations.
Track overpayment identification, recovery efforts, and ROI by detection category. Prove the value of your program integrity investment.
Let us run a pilot on your data. If we don't find actionable FW&A, you don't pay.