As regulatory environments become increasingly complex, inadvertent violation of critical regulations becomes an increasingly likely possibility, regardless of the scale and scope of any company. This places a high value on your ability to proactively identify and respond to risks—before they impact the business.
This intelligent risk management capability is at the core of our Riskcovery® platform. Riskcovery is a patented, proprietary technology that uses advanced analytics to help users:
Riskcovery is built on industry-leading conceptual analytics technology—this means it can accurately capture abstract meanings of written communications, regardless of language and without the need for time-consuming manual intervention.
Built-in portability means the platform can be used on-demand within our highly secure environment or behind your firewall for optimal control.
Our trained Riskcovery experts work with you and your counsel, IT department and compliance team to:
Unlike TAR platforms, which attempt to control costs during the review stage, Riskcovery is intended to proactively reduce collection of non-relevant information, far upstream from review and analysis. This means reduced cost and complexity and faster time-to-detection of relevant trends and potential risk within an organization. And reusable conceptual searches allow for repeat triage – saving time and money.
Riskcovery Case Study
The U.S. government requested that the client look into potential violations of the Stark Law—a regulation that prohibits physician referrals of designated health services (“DHS”) for Medicare and Medicaid patients if the physician (or an immediate family member) has a financial relationship with that entity.
Specifically, the DOJ was interested in claims that the hospital had accepted free testing materials from a specific lab, with the understanding the hospital’s tests and analyses would subsequently be performed by that lab.
The client suspected that a recently terminated employee had made the accusation and believed that only a few individuals had knowledge of the hospital’s relationship with the lab. The client’s data retention policy mandated that all employee email and e-files must be archived, so they were able to provide Advanced Discovery with the terminated employee’s email and all data from his laptop.
Our client engaged us to help validate (or invalidate) the accusations and, if necessary, determine the potential extent of the violations. To accomplish this, our experts ingested the data into our patented Riskcovery® platform, which was kept at the client site throughout the engagement in order to maintain compliance with HIPAA regulations. After ingestion, we used text from the original Civil Investigative Demand, along with other conceptual samples, to create a custom classification program describing the ideas of interest.
The Riskcovery platform identified and prioritized documents and emails conceptually similar to those in the custom classification program. The second highest ranking document was an email from the suspected employee to the lab in question, detailing an agreement to send all analyses to the lab if testing materials were provided free of charge.
Using Riskcovery, Advanced Discovery determined that during the last three months of employment, the suspected employee had sent over 3,000 emails to a personal email account. These emails contained information not only about the hospital’s agreements with various labs, pharmaceutical companies, and partners – but they also included information about specific patients. This was a clear violation of HIPAA regulations by the employee, and the client requested a complete export of all data for further review.
Given our findings, the client and counsel were able to justify the need for further investigation of all of the custodians that Riskcovery identified. Additionally, by using Riskcovery, our expert was able to assist the client in its response to the DOJ and provide a clear and detailed roadmap for necessary action items for counsel.
To see Riskcovery in action, click here to set up a demo with one of our experts.