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
Payment Integrity
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
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
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
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
‘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