Solutions for Regulators & Payers

ChartR Guardian: Program Integrity & Oversight

Shared intelligence infrastructure that monitors payment accuracy, surfaces program risks, and strengthens oversight across Medicare and Medicaid — continuously protecting funding and the people it serves.

Protecting What Matters

Medicare and Medicaid improper payments total over $60 billion annually, while quality outcomes have flatlined. Better data infrastructure can change this — protecting funding and improving care for the people these programs serve.

~$31B
Medicare FFS Payment Errors

CMS CERT reports show persistent 6-7% error rates year after year, totaling roughly $31 billion annually.

~$31B
Medicaid Improper Payments

PERM data shows Medicaid improper payment rates as high as 21% in recent years, representing tens of billions in waste.

Flat
Quality Despite Spending

Readmission rates, hospital-acquired infection rates, and CMS penalty rates have barely moved since 2020 despite billions in consulting spend.

Built for Federal and State Health Agencies

Trusted infrastructure for the organizations that oversee healthcare programs.

CMS & Medicare Programs
State Medicaid Agencies
Medicare Administrative Contractors
Quality Improvement Organizations
Program Integrity Units
Detect. Investigate. Act. Evaluate.

Continuous Oversight for Program Integrity

From claims analysis to network oversight, Guardian agents autonomously monitor, detect, investigate, and route — so your team focuses on decisions, not data wrangling.

1

Claims Analysis & Payment Accuracy

Detection and investigation of billing anomalies, payment accuracy risks, and claims outliers across Medicare and Medicaid programs.

2

Encounter Completeness & Data Quality

Continuously evaluate encounter data completeness, flag data-quality gaps across MCOs, and surface corrective insights for your Medicaid or Medicare program.

3

MCO & Plan Performance Monitoring

Continuous monitoring of managed care organization performance metrics, utilization patterns, and program compliance across your entire network.

4

Network Oversight & Provider Profiling

Comprehensive provider network oversight — from utilization patterns to provider benchmarking and network integrity evaluation.

5

Program Integrity & Audit Readiness

Maintain audit readiness and proactively detect program integrity risks before they become federal findings.

6

Clinical AI Oversight & Safety Monitoring

Continuously evaluate the safety, accuracy, and fairness of clinical AI tools deployed across your network — from prior authorization models to clinical decision support.

Claims Analysis & Payment Accuracy

Detection and investigation of billing anomalies, payment accuracy risks, and claims outliers across Medicare and Medicaid programs.

Billing anomaly detection with automated provider investigation workflows
Payment risk scoring across providers, facilities, and claim types
Claims pattern analysis surfacing statistical outliers and emerging trends
End-to-end case management from detection through resolution
Coverage policy compliance monitoring across federal and state programs
Why ChartR

From Reactive Audits to Continuous Oversight

Traditional program integrity approaches rely on periodic sampling and manual review. ChartR replaces that with autonomous, always-on monitoring.

Legacy Approach

Quarterly or annual sample-based audits catch <5% of issues
6–12 months from data pull to actionable findings
Siloed teams running disconnected tools and spreadsheets
No systematic way to evaluate deployed clinical AI tools
Findings arrive too late to prevent improper payments

With ChartR Guardian

Every claim and encounter analyzed continuously — 100% coverage
Findings surface in hours, not months, with full evidence chains
One platform connecting claims, clinical, and regulatory data
Built-in AI governance to monitor clinical AI safety and fairness
Proactive detection prevents improper payments before they occur
Built for Your Team

Who Uses Guardian

State Medicaid Directors

Real-time visibility into program integrity risks, encounter completeness, and MCO performance across your entire Medicaid program.

Program Integrity Officers

Autonomous payment integrity detection and investigation workflows that surface the signal from millions of claims.

MCO Compliance Teams

Continuous monitoring of encounter submissions, quality metrics, and regulatory requirements.

CMS Regional Offices

Cross-program performance analytics and trend detection across Medicare and Medicaid populations.

QIO & Peer Review Leaders

Scalable peer review workflows with automated case identification, evidence compilation, and outcome tracking across your network.

SIU & Audit Teams

AI-powered investigation support that builds evidence chains, scores provider risk, and prioritizes cases for your special investigations unit.

Data Sources

Connects to Your Data

Claims Data
X12 837, CCLF, ADT feeds
CMS Public Use Files
Benchmarks, quality data, provider profiles
BCDA API
Beneficiary claims & attribution
Risk Adjustment Files
MARx, MAO-004, RAPS Return, EDS
EMR / Clinical Data
Epic, Cerner, eClinicalWorks
Institutional Knowledge
Past investigations, policies, workflows

Ready to Strengthen Program Oversight?

Surface encounter completeness gaps, payment accuracy issues, and program performance risks across your entire Medicare or Medicaid program.