The Self-Insurer Magazine Combating Sophisticated Healthcare Fraud Schemes: Lessons for Self-Insured Health Plans Read Article 4L Data Intelligence, a leader in healthcare fraud prevention technology, is proud to announce that our Senior Fraud Advisor, Greg Lyon, has authored a featured … Read More
Fraud Schemes
Educational Webinar in NHCAA’s Virtual Training Program
LIVE WEBINAR 4L Data Intelligence Delivers Educational Webinar on Early Detection of Provider Collusion Schemes in NHCAA’s Virtual Training Program Watch NOW We’re pleased to announce that 4L Data Intelligence recently participated as a partner speaker in a webinar hosted … Read More
Stopping the Tsunami of Telehealth Fraud, Waste and Abuse
By Theja Birur Surfers talk a lot about sets, groups of waves that keep coming one behind the other. While that may be a surfer’s dream, the continuous cadence of telehealth fraud, waste and abuse stories is looking more like … Read More
Study Showed 10% Of Workers Comp Claims Paid Were Fraudulent
A 2021 4L Data Intelligence analysis of over four (4) million workers compensation claims paid showed that 19,612 providers out of a network of 86,000 submitted fraudulent claims totaling about 10% of all claims paid during the prior year. This … Read More
Stopping The Catheter Fraud Scheme
case study – GREG LYON Unmasking a $2 Billion Catheter Fraud Scheme: Lessons for Healthcare Payers Greg is a recognized anti-fraud expert with experience in Financial Services and Healthcare Payments that includes serving as Director of Fraud Prevention at United … Read More
4L Data Intelligence Helps Find More Fraud Faster at NHCAA
SAN RAMON, Calif. ‐ Nov. 6, 2023 ‐ 4L Data Intelligence™, the leader in patented AI-powered contextual claims analysis for fraud, waste, and abuse (FWA) prevention in healthcare, is hosting a panel titled “The Preventive Power Of Contextual Claims Analysis ‐ … Read More
FWA Is Increasing. Healthcare Costs Are Spiraling.
Theja Birur, Chief Technology Officer & Founder, 4L Data Intelligence In 2020, the Department of Justice estimated that fraudulent, wasteful, and abusive (FWA) billing practices account for more than $100 billion of the nation’s healthcare expenditures.1 Today, the National Healthcare Anti-Fraud … Read More
Rising in the Payment Integrity Solutions Landscape
Report Release Payment Integrity Solutions PEAK Matrix® Assessment 2024 See Article 4L Data Intelligence was, for the first time, included in the Everest Group’s Payment Integrity Solutions PEAK Matrix® Assessment for 2024. The company’s 4L FWA Prevention solution led to … Read More
ERGO Insurance Fights Insurance Fraud Alongside ATC
News February 1, 2023 ERGO Insurance, successfully operating in the Greek market for more than 30 years, has activated a multi-dimensional action plan to combat insurance fraud, starting with the car insurance sector. Athens Technology Center (ATC) is a key supporter … Read More
How AI-Enabled Fraud, Waste, and Abuse Detection Can End “Pay and Chase”
Healthcare Fraud, Waste, and Abuse (FWA) costs are out of control. The National Health Care Anti-Fraud Association estimates that healthcare fraud costs the US approximately $68 billion each year. Further, the Centers for Medicare and Medicaid Services (CMS) reported that improper payments … Read More
