with a better browsing experience; allow us to assess, monitor, and improve the website’s
performance; and enable our partners to advertise to you. You may disable the cookies by changing
the settings in your browser, and you may tell us not to share your cookie data with third parties.
“My special investigations unit keeps an eye on fraud and abuse, but what
The line between fraud and waste may be a fine one, but when you’re convinced
that a dubious claim is not fraudulent, does your payer organization have a way of
looking into it? And if your organization does pursue waste, are you catching it before
payment goes out the door? Or do you have to “pay and chase?”
What if your fraud management system were smart enough to detect waste also?
The potential for savings is huge in three commonly overlooked areas: too many tests,
inefficient claims processing and premature discharge of patients. By using predictive
analytics and models, payer organizations can save money by identifying, controlling
and stopping unnecessary health care payments
Thank you for submitting your information. You will be receiving a confirmation email shortly, as well as a follow up from one of our product specialists.