Payment Integrity

Woman on phone discussing workers' comp claim while checking time

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

Senior healthcare executive contemplating fraud prevention strategies

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

AI-powered analytics dashboards for hospice care management

Revolutionizing Hospice Care

Leveraging AI to provide hospice organizations with continuous, automated predictive analyses of their financial and operational health   SAN RAMON, CALIFORNIA – August 1, 2023 – 4L Data Intelligence™ , a leading provider of patented AI-powered solutions for the healthcare industry, … Read More

Healthcare data analysis with stethoscope and financial graphs

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

Hand stacking wooden cubes with healthcare icons

Reducing Healthcare Cost by Improving Integrity

Clay Wilemon, CEO & Chairman, 4L Data Intelligence™ Reducing Healthcare Cost by Improving Integrity Clay Wilemon, CEO and Chairman of 4L Data Intelligence™ that helps healthcare providers and payers, insurance companies and governments improve service quality, serve more people and … Read More

Wooden gavel on marble surface representing legal judgment

‘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