KISACO RESEARCH Revolutionizing Healthcare Payment Integrity with AI Download Report In the ever-evolving landscape of healthcare payment integrity, a new approach is emerging that promises to revolutionize how we detect and prevent fraud, waste, and abuse (FWA). Our latest report, … Read More
FWA Prevention
NAMPI 2024: Provider-Centric FWA Prevention
NAMPI 2024 Breakout session Provider-Centric FWA Prevention: The Value of Seeing Every Behavior, Pattern, Outlier & Relationship in Near Real-Time Watch on youtube Medicaid Program Integrity depends on having a continuous in-depth understanding of provider behaviors, patterns, outliers, and relationships … 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
Integr8 AI™ Helps Small Payers Generate Big FWA Savings
Karthik Govindan | Chief Product & Transformation Officer Integr8 AI™ Helps Small Payers Generate Big FWA Savings Karthik has vast experience in healthcare billing including provider, payer, ambulance, medical device, pharmacy, and revenue cycle management. He has successfully developed and … 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
‘Fountain of Youth’ Doctor Fraud Is Now Preventable
By Theja Birur ‘Fountain of Youth’ Doctor Fraud Is Now Preventable The fraud, waste and abuse (FWA) cases and convictions being prosecuted by the Department of Justice point to the rising sophistication and negative impact a single provider, or small … Read More
