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Risk Management, Compliance, and Investigation Solutions for Healthcare Teams

Ensure compliance, accountability, and safety for patients and frontline workers with solutions that capture incidents, drive through investigations, and detect risk.

Built for Healthcare Compliance & Investigations

Everything healthcare organizations need to uncover incidents, conduct investigations, streamline disclosures, and detect non-compliance risk.
Trusted to Protect Sensitive Data
Safeguard sensitive data with enterprise-grade security and support for HIPAA, PIPEDA, GLBA and other regulatory requirements, backed by SOC 2 Type II and ISO 27001:2022 certifications.
Centralize Your Investigations
Manage harassment, discrimination, and employee misconduct cases in one place with controlled access and a full audit record.
AI for Healthcare Investigations
Configure the leading AI for healthcare investigations to deliver relevant insights and suggestions based on your policies and procedures, regulatory requirements, incident types, etc.
Anonymous Reporting for Frontline Workers
Give workers across facilities an anonymous, accessible way to report incidents 24/7, in 100+ languages, so no concern goes unnoticed.
Built for Compliance Traceability
Maintain clear records, audit trails and documentation for compliance and accountability, including approval requests and disclosures.
Insights for Data-Driven Changes
Use real-time analytics to track active cases, identify where incidents occur, detect risks such as fraud, and optimize your healthcare operations.

Managing Risk & Incidents in Healthcare

Ethics & Compliance
Code of conduct, FCPA risk, COI
HR Investigations
Harassment, discrimination, retaliation
Fraud & Compliance
Billing fraud, HIPAA, OIG investigations
HCP & COI Disclosures
HCP engagements, gift reports, COI approvals

Case IQ Solutions for Healthcare

Hotline, investigations, approvals, and monitoring from one trusted provider.
Case Management
Configurable workflows, full auditability, and leading AI for healthcare investigations to help teams intake, triage, and resolve cases more effectively in one place.
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Whistleblower Hotline
From frontline workers to patients, ensure every voice is heard with a multilingual 24/7 hotline for anonymous reporting of incidents and misconduct across facilities.
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Compliance Monitoring
Proactively detect risk such as bribery, fraud, and corruption with AI that risk scores transactions and delivers real-time insights to prevent escalation.
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Approvals & Disclosures
Simplify disclosures and automate approval requests with configurable questionnaires, approval logic, and detailed reporting.
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Third-Party Management
Manage due diligence, onboarding, risk assessments, and ongoing monitoring for healthcare vendors, distributors, partners, and other third parties in one place.
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Case Study

NYC Health + Hospitals/CHS

Healthcare • Public Sector
The Challenge

The Correctional Health Services division of NYC Health + Hospitals was managing patient complaints, PREA reports, and workplace incidents through an old database that couldn't link cases or produce records for FOIA requests

The Solution

The team selected Case IQ to centralize complaint intake, automate PREA reporting, track workplace violence, and eliminate paper records, replacing hours-long FOIA searches with minutes.

The Results

67%

Faster Case Review

Time to review patient relations cases cut by two-thirds after deploying Case IQ.

50%

Faster Reporting

Prison Rape Elimination Act compliance reporting time cut in half

Minutes, Not Hours

FOIA Fulfillment

Freedom of Information requests completed faster, without sorting through emails

Data lives in one place, versus living on spreadsheets that could end up anywhere. That eliminates a huge risk.
Ben Farber, former Senior Associate Director for Planning & Analysis, NYC Health + Hospitals/CHS

Financial Services FAQs

What is healthcare compliance software?

Healthcare compliance software is a platform that helps healthcare organizations investigate, document, and report ethics, HR, fraud, and compliance cases. Case IQ is used by hospitals, health systems, and life sciences companies to manage ethics investigations, HR cases, hotline reports, approvals and disclosures, and compliance monitoring — all from one trusted provider.

How does Case IQ handle ethics and compliance investigations in healthcare?

Case IQ gives compliance teams one system to receive, route, investigate, and document ethics and compliance cases from intake to final outcome. Every action is time-stamped in a complete audit trail. Investigators can manage code-of-conduct complaints, conflicts of interest, FCPA-related matters, and other compliance violations — with role-based access and reports designed for compliance officers.

Does Case IQ include a whistleblower hotline for healthcare organizations?

Yes, Case IQ offers a 24/7 anonymous reporting hotline for healthcare organizations, giving employees and contractors a secure way to report ethics concerns, HR issues, fraud, and compliance violations. Reports submitted through the hospital whistleblower hotline route directly into the case management system — so every report is tracked, assigned, and investigated without leaving the platform. The hotline supports reporting in 100+ languages.

How does Case IQ support HR investigations in healthcare?

Case IQ gives HR and employee relations teams in healthcare a structured system to manage harassment, discrimination, retaliation, and workplace misconduct cases with controlled access and a full audit record. Every investigation step is documented — with time-stamped entries, role-based access controls, and reports designed for HR leadership.

Can Case IQ manage HCP/HCO engagements and COI disclosures?

Yes, Case IQ's Approvals & Disclosures module handles HCP/HCO engagements, gift reporting, sponsorships, and conflicts of interest disclosures. Requests route through configurable pre-approval workflows, are screened against your policies, and documented with a complete audit trail — supporting transfer-of-value controls and corporate integrity agreement requirements.

How does Case IQ support compliance monitoring in healthcare?

Case IQ Compliance Monitoring gives healthcare compliance teams continuous visibility into spend, transactions, and engagement activity — surfacing exceptions and compliance risks before they become formal investigations or regulatory concerns. Teams can set monitoring rules aligned to their compliance program, view real-time dashboards, and generate reports for leadership, audit committees, and regulators.

Does Case IQ integrate with existing healthcare systems?

Yes, Case IQ integrates with existing HR systems, reporting hotlines, fraud detection tools, and other intake mechanisms used by healthcare organizations. The platform uses open APIs to connect with SAP, Oracle, Workday, and other enterprise systems, allowing case data to flow between systems without manual re-entry. Integration with existing hotlines ensures every referral is captured and tracked in one place.

Can one platform handle ethics, HR, fraud, and compliance cases in healthcare?

Yes, Case IQ is a multi-use healthcare compliance case management platform that handles ethics investigations, HR cases, fraud, compliance violations, hotline reports, and approvals and disclosures in a single auditable system. Consolidating these workflows reduces tool sprawl and gives compliance, HR, and legal teams one audit trail — not a patchwork of spreadsheets, emails, and disconnected systems. Case IQ also offers separate hotline and compliance solutions to round out your risk management needs.

How does Case IQ support life sciences and pharma compliance?

Case IQ supports life sciences compliance teams with case management for ethics investigations, anonymous reporting mechanisms, HCP/HCO engagement approvals, gift and grant workflows, and compliance monitoring. Pharmaceutical, biotech, and medtech organizations use Case IQ to manage transfer-of-value controls, corporate integrity agreement requirements, and third-party risk — all from one trusted vendor.

Ready to Better Manage Healthcare Incidents and Compliance?

See how Case IQ can support healthcare teams handling misconduct reports, whistleblower concerns, fraud issues, third-party risks, and more.