Protect the programs you are accountable for
Janoll Consulting works with government agencies, healthcare organizations, and third-party administrators to identify fraud, waste, and abuse in claims , recover what has leaked , and deter it going forward. Every finding documented to an evidentiary standard.
Our methodology provides flexibility and agility.
IDENTIFY
Purpose-built detection technology analyzes claims data at scale. It surfaces fraud, waste, abuse, and process failure, and separates true signal from noise before any allegation is formed.
RECOVER
We support recovery of improper payments through the channels appropriate to your program. Recoveries get appealed and challenged. Ours are documented from the first finding to hold when they are.
DETER
Findings feed forward into monitoring and detection technology, so the same leak does not reopen. Your posture shifts from reacting to loss toward preventing it.
Core Services
Historical Claims Forensics
Retrospective analysis of paid claims to find what already leaked.
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FWA Identification
Detection of fraud, waste, and abuse patterns across claims populations.
Recovery Support
Defensible documentation and support through recovery.
Deterrence & Monitoring Technology
Forward-facing detection that keeps the leak closed.
Exposure Assessments
Fixed-scope reviews that quantify exposure and map defensibility gaps.
Detection Technology (AI/ML)
The custom analytics engine behind all of the above, built in-house.
About Us
The Standard
Compliance is what you claim. Defensibility is what survives review. We document every finding to the standard of the hardest room it could end up in: appeal, administrative challenge, legal scrutiny.
The Insider Seat
Built by a former healthcare provider executive with cross-industry operations experience.
Who We Serve
Every organization we serve answers to someone above it for the dollars moving through claims: state Medicaid programs to federal oversight, corrections health systems to appropriations, TPAs to plan sponsors. Different programs. Same exposure. If you can’t prove the dollars went out clean, they get clawed back.
Request a Briefing
A 30-minute walkthrough of what the current oversight environment tests for and what a defensible posture looks like. No pitch.
