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
Overpayment Prevention
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