Janoll Consulting provides claims-integrity and fraud, waste, and abuse services to government agencies, health systems, and third-party administrators. Our work follows a five-stage chain: identification, analysis, documentation, recovery support, and deterrence. Every stage builds the record the next depends on. A finding is only as defensible as the documentation behind it.
Services
- Historical Claims Forensics
- Retrospective analysis of paid-claims populations to identify improper payments, billing anomalies, and process failures. Deliverables include quantified exposure estimates and findings documented to an evidentiary standard.
- FWA Identification & Recovery
- Detection of fraud, waste, and abuse patterns; contextual analysis against program rules and provider behavior; recovery support with the documentation already built to sustain the action.
- Deterrence & Monitoring Technology
- Custom detection and monitoring systems, built in-house, that carry findings forward into continuous oversight.
- Exposure Assessments
- Fixed-fee, fixed-scope assessments of a defined claims population: quantified exposure, evidentiary-standard findings, and a defensibility gap analysis you can hand your oversight body.
Who we serve
Our clients hold other people’s money in trust. A state program answers to federal oversight. A public health system answers to the budget that funds it. A third-party administrator answers to the plan sponsors whose assets it manages. The names change. The position does not. Someone above you can demand proof that every dollar went out clean, and take back the ones you cannot defend