Our cross-program capabilities allow us to create detection algorithms for fraud trends that develop in one industry and deploy them to all our partners. Bad actors often use the same techniques to defraud multiple industries. By “following” them across programs and industries, we improve our detection algorithms for all our clients.Request A Demo
Pondera supports the federal government’s efforts to identify individual cases of fraud or abuse as well as trends, patterns, and clusters that may indicate existing or emerging problems.
Pondera’s system provides payment integrity services through pre-payment and post-payment analytics on providers, beneficiaries, claims, and members for both fee-for-service and managed care organizations
Maintain compliance and identify emerging fraud trends and schemes and built to help our clients ensure that limited program dollars are delivered to those who are qualified to receive them.
Maximization and audit selection for unemployment insurance systems and state & local tax programs.
Pondera uses prediction algorithms and machine learning to predict, detect, and investigate fraud, waste, and abuse in healthcare and government programs.
Our industry experts are happy to provide an in-person or web conference overview that is customized to your organization and your needs.