Integrity Management Services

What Integrity Management Services does

Integrity Management Services, Inc. (IntegrityM) is a privately held, women-owned small business founded in 2009 and headquartered in Alexandria, Virginia. The company delivers program integrity services — including fraud, waste, and abuse (FWA) detection, statistical sampling and extrapolation, medical review, audits and evaluations, investigations, grants management, and specialized healthcare staffing — to federal agencies (CMS, HRSA, HHS, NSF, VHA), state Medicaid programs, and select commercial healthcare organizations. The core technical assets are two registered-trademark software products, ASE*Pro™ and GLϨD(Σ)™, which automate statistically valid random sampling and extrapolation to estimate overpayments across full populations; the company also holds registered trademarks, ISO 9001:2015 and CMMI Level 3 certifications, and operates under GSA Professional Services Schedule and OASIS+ contract vehicles.

IntegrityM monetizes primarily through professional services engagements and staff augmentation awarded under multi-year government contracts, with a secondary software licensing stream from its proprietary sampling tools. Its go-to-market is enterprise field sales targeting federal and state healthcare program integrity buyers via direct prime contracting, GSA task orders, and teaming arrangements with larger integrators such as CSC and Aptive HTG. The company has accumulated roughly $2B in client-identified at-risk dollars, won the G2Xchange 2016 Federal Health IT Challenge for GLϨD(Σ)™ and the ACT-IAC 2021 Innovation Award for C.O.D.A., and most recently secured a $1B VHA IDIQ joint venture with Aptive HTG in 2024 plus two OASIS+ awards in 2025. AI/ML is used as a feature layer (unsupervised anomaly detection, predictive modeling, NLP chatbots) rather than as the company's central product, and the business remains fundamentally a domain-led professional services and contract research firm in federal healthcare integrity.

Name

Integrity Management Services

Legal name

Integrity Management Services, Inc.

Website

https://integritym.com

Company type

Private

Founded year

2009

Operating status

Operating

Headcount range

101–250 employees

Short description

IntegrityM is a women-owned small business providing fraud, waste, and abuse detection, statistical sampling, audits, medical review, and specialized healthcare staffing to federal and state government healthcare programs, anchored by proprietary ASE*Pro™ and GLϨD(Σ)™ tools.

Ownership category

akta.pro rank

Product category

Healthcare Program Integrity Services

NAICS

Computer Systems Design and Related Services (54151), Investigation and Personal Background Check Services (561611), Investigation and Security Services (5616), Financial Transactions Processing, Reserve, and Clearinghouse Activities (522320)

SIC

Hospital & Medical Service Plans (6324), Services-Misc Health & Allied Services, Nec (8090), Services-Computer Programming, Data Processing, Etc. (7370), Services-Management Services (8741)

akta.pro primary industry

Claims Administration & Payment Integrity (Medical/Dental/Vision) (HLAEALAD)

akta.pro secondary industries

Payment Integrity, Audit, Appeals & Grievance Support (BPAAAFAJ), Security Audits & Compliance (ISO 27001, SOC 2, PCI DSS, HIPAA, SOX) (BPAKADAC), Healthcare Master Data Management (MDM) & Patient/Provider Identity Data (HLACAIAB)

Keywords

• Healthcare program integrity
• Fraud waste abuse prevention
• Statistical sampling extrapolation
• Government healthcare auditing
• Grants management oversight

Headquarters

HQ city

Alexandria

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure

Revenue model

1. Professional Services - Data Analytics: Data analysis and statistical services for fraud, waste, and abuse detection in healthcare programs. Includes predictive modeling, outlier detection, and claims data analysis for Medicare and Medicaid programs.
2. Professional Services - Audits & Evaluations: Comprehensive audit and evaluation services for government healthcare programs, including compliance audits, program evaluations, and FTE resident count audits.
3. Professional Services - Investigations: Healthcare fraud investigations including provider audits, beneficiary site visits, and FWA (fraud, waste, abuse) prevention services.
4. Professional Services - Medical Review: Medical review services including coding review, claim reviews, and clinical expertise for healthcare program integrity.
5. Professional Services - Grants Management: Post-award monitoring, compliance support, and program oversight for federal grants including 2 CFR 200 compliance services.
6. Staffing Services: Staff augmentation providing specialized healthcare data analysts, investigators, auditors, and clinicians to government and commercial clients.
7. Technology Solutions / Software Licensing: Licensing of proprietary software including GLȲD(Σ) and ASE*Pro for statistical sampling and extrapolation; custom software development.
8. Training & Education: Professional development training, subject matter expertise services, and compliance education programs for healthcare organizations.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels7 records

Core offering

IntegrityM delivers program integrity services to federal and state government healthcare clients (CMS, HRSA, NSF, HHS, VHA) and commercial healthcare organizations, encompassing data analytics, audits and evaluations, fraud waste and abuse investigations, medical review, grants management oversight, compliance management, and specialized healthcare staffing. Its proprietary technology products — ASE*Pro*™ and GLΞD(Σ)™ — automate statistically valid sampling and extrapolation for healthcare audits, with additional capabilities in machine learning–based anomaly detection and RPA-driven process automation.

Product overview

Integrity Management Services (IntegrityM) is a women-owned small business offering a comprehensive portfolio of program integrity solutions for federal and state government agencies and commercial healthcare organizations. The core offering centers on fraud, waste, and abuse (FWA) detection and prevention through Data Analytics, Investigations, Audits, Medical Review, and Compliance services. The company's key technology products include ASE*Pro*™ (a statistically smart sampling and extrapolation tool) and GLȲD(Σ)™ (an automated statistical analysis application). Supporting services include Grants Management, Strategic Staffing Solutions, Education & Subject Matter Expertise, and Technology Solutions. The portfolio is delivered through GSA contract vehicles (PSS CORP and OASIS+) and serves primarily government healthcare programs including CMS, HRSA, and NSF.

Differentiator

Problem solved

Functional benefit

Brands

• ASEPro™ (ASΣ*Pro™): Automated Statistical Sampling and Extrapolation Tool - a statistical analysis application that automates the statistical sampling and extrapolation process for healthcare audits.
• GLȲD(Σ)
• C.O.D.A. (COVID-19 Outreach Digital Assistant)

Products and services

• Data Analytics Healthcare data analytics services providing statistical and data analysis to identify patterns, problems, and insights for fraud, waste, and abuse detection in government healthcare programs.
• ASE*Pro*™ (Automated Statistical Sampling and Extrapolation) Proprietary statistically smart software providing sampling and extrapolation services for healthcare audits and investigations, enabling organizations to estimate total financial impact across full populations based on smaller random samples.
• Audits & Evaluation Comprehensive audit and evaluation services for federal agencies and commercial enterprises, including program evaluations, compliance audits, and performance reviews.
• Investigations Healthcare fraud investigations services including provider site visits, audits, and fraud, waste, and abuse (FWA) prevention across pharmacies, inpatient facilities, DME suppliers, physicians, and outpatient facilities.
• Medical Review Medical review services including coding review, clinical documentation review, and improper payment support for healthcare programs.
• Grants Management & Program Oversight Grants management services including post-award monitoring, subrecipient monitoring, and program integrity oversight for federal agencies.
• Compliance Management & Program Integrity Compliance program development, regulatory analysis, and program integrity services helping organizations maintain adherence to federal regulations including 2 CFR 200, Medicare, Medicaid, and HIPAA.
• GLΞD(Σ)™ (GLYDE Statistical Sampling Tool) Statistical analysis application that automates the sampling and extrapolation process, performing accurate calculations with customizable methodologies for healthcare organizations. Awarded G2Xchange 2016 Federal Health IT Challenge winner.
• Technology Solutions Technology solutions including Agile methodology implementation, software development, and integration of AI/ML capabilities into healthcare automation tools.
• Strategic Staffing Solutions Staff augmentation services providing specialized recruiting for data analysts, investigators, auditors, clinicians, statisticians, and other technical professionals.
• Education & Subject Matter Expertise Expert consulting and training services including outreach and education programs, professional development training, and subject matter expertise in healthcare compliance and program integrity.

Quantifiable outcome

• Over $2 billion identified at risk through Program/Payment Integrity & Analytics work
• +2 more outcomes

Named customers7 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability8 records

Feature5 records

Partnerships

Three partnerships are on record, tiered core.

• Computer Sciences Corporation (CSC)coreStrategic or Co-development Partner · 25 September 2015CSC was awarded the Trusted Third Party (TTP) contract by CMS to support the Healthcare Fraud Prevention Partnership (HFPP). IntegrityM partnered with CSC under this contract alongside other industry leading fraud detection companies including Truven, HMS Federal, and LMI to provide expert views on the fraud prevention landscape.
• National Government ServicescoreStrategic or Co-development PartnerTeaming partner with IntegrityM for HRSA contract to conduct Full-Time Equivalent (FTE) resident counts audits for Children's Hospitals Graduate Medical Education (CHGME) and Teaching Health Center Graduate Medical Education (THCGME) Programs.
• Aptive HTGcoreStrategic or Co-development PartnerIntegrityM and Aptive HTG won a Veterans Health Administration (VHA) IDIQ contract to provide Integrated Healthcare Transformation Support. The $1B contract combines expertise from both companies for VHA modernization efforts.

Scale indicators5 records

Recent moves7 records

Expansion highlights5 records

Direct peers

• LMI: LMI is a not-for-profit federal consultancy providing analytics, logistics, and healthcare management services to HHS, CMS, and DoD. Listed alongside IntegrityM as a partner on CSC's HFPP Trusted Third Party contract, indicating direct co-bidding on the same healthcare integrity procurements.
• Cognosante: Cognosante is a healthcare-focused government services contractor providing Medicaid/Medicare data analytics, program integrity, and health IT modernization to federal and state agencies. Comparable as a similarly-sized healthcare GovCon serving CMS, state Medicaid agencies, and HHS with overlapping analytics and integrity offerings.
• Aptive HTG: Aptive HTG is the prime contractor partner alongside IntegrityM on the $1B VHA IDIQ. Comparable as a fellow small/medium government healthcare services firm pursuing similar federal healthcare transformation and program integrity work, with overlapping customer set.
• HMS Federal (formerly HMS/Gainwell Technologies Federal): HMS Federal is one of the largest pure-play healthcare program integrity contractors for CMS, providing fraud, waste, and abuse detection, payment integrity, and Medicaid managed-care oversight. It is directly comparable as a long-tenured CMS integrity vendor with similar service lines (medical review, investigations, data analytics) and is even referenced in IntegrityM's own HFPP partnership history.
• SafeGuard Services (SGS): SafeGuard Services (an HP/EDS heritage subsidiary) provides compliance, fraud, waste, and abuse services for CMS. IntegrityM BD SME Howard Apple was previously President of SGS — direct comparable in scope, customer, and service mix, with similar Medicare/Medicaid integrity focus.

Broad incumbents

• Booz Allen Hamilton: Booz Allen Hamilton is one of the largest federal professional services firms, with a substantial federal health business spanning CMS, HHS, and VA. Comparable as a broad incumbent that competes on large omnibus health contracts while also participating in fraud, waste, and abuse work.
• ICF International: ICF International is a large public federal professional services firm with deep health and analytics practices serving CMS, HHS, and state agencies. Comparable as a much larger incumbent competing for many of the same federal healthcare analytics and program integrity task orders.
• CGI Federal: CGI Federal is a large IT and business services contractor with a dedicated federal healthcare practice serving CMS, HHS, and state Medicaid agencies. Comparable as a broad incumbent delivering healthcare IT, program integrity, and analytics at scale.
• Truven Health Analytics (IBM Watson Health / Merative): Truven Health Analytics (now part of Merative, formerly IBM Watson Health) provides healthcare data analytics, including fraud and integrity analytics for government payers. Listed alongside IntegrityM on CSC's HFPP TTP contract, evidencing direct overlap on healthcare fraud analytics procurements.

Emerging players

• Salient CRGT: Salient CRGT (now part of Vencore/General Dynamics IT) provides federal healthcare IT and analytics services with focus on CMS and HHS programs. Comparable as a similarly-sized federal healthcare IT services firm competing on program integrity, data analytics, and Medicaid modernization work.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/integritym_inc
• LinkedInlinkedin.com/company/integrityminc

Compliance5 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Integrity Management Services