LexisNexis® Risk Solutions today announced it has acquired EDIWatch, Inc., a privately-held leading provider of fraud, waste and abuse (FWA) technology solutions exclusively for the health care payer industry.
"Combining EDIWatch with LexisNexis public records and related data, linking and predictive analytics capabilities provides a comprehensive end-to-end suite of solutions to address the range of payer needs in combating fraud, waste and abuse," said James Peck, CEO, LexisNexis Risk Solutions. "We are committed to offering our customers improved predictive and investigative efficiencies to assist in their efforts to prevent improper payments."
LexisNexis offers a comprehensive suite of predictive modeling, advanced analytics and identity management solutions to manage and help ensure appropriate access to information, reduce the risk of fraudulent activity and improve the quality of care and oversight. With the ability to integrate data and analytic tools into existing workflows, LexisNexis offers valuable information in real time to help health care providers and payers make more informed decisions and streamline processes.
EDIWatch’s portfolio addresses FWA detection, recovery, and prevention; leverages automated business fraud rules and analytics; and offers user-friendly case management workflow tools and investigatory services. EDIWatch customers consist of commercial health insurance plans, state Medicaid agencies, and Medicare/Medicaid managed care organizations.
EDIWatch's operations will be integrated into the Health Care business unit of LexisNexis Risk Solutions, which is led by Vice President and General Manager Harry Jordan. EDIWatch co-founder Paul Slagle will assume a new role within the LexisNexis Health Care business unit as Sr. Director, Fraud, Waste & Abuse Solutions, reporting to Jordan. EDIWatch is based in Alpharetta, Georgia, and will be integrated into LexisNexis.
About LexisNexis Risk Solutions
LexisNexis Risk Solutions (lexisnexis.com/risk) is a leader in providing essential information that helps customers across all industries and government predict, assess and manage risk. Combining cutting-edge technology, unique data and advanced scoring analytics, Risk Solutions provides products and services that address evolving client needs in the risk sector while upholding the highest standards of security and privacy. LexisNexis Risk Solutions is part of Reed Elsevier, a leading publisher and information provider that serves customers in more than 100 countries with more than 30,000 employees worldwide.
Our health care solutions assist payers, providers and integrators with ensuring appropriate access to health care data and programs, enhancing disease management contact ratios, improving operational processes, and proactively combating fraud, waste and abuse across the continuum.