This resource is no longer available
A New Approach to Combat Healthcare Fraud
The National Health Care Anti-Fraud Association (NHCAA) estimates that $68 billion per year is lost to health care fraud. To combat this, you need an approach that shifts the payment integrity paradigm from a retrospective to a prospective state, working to help prevent fraud prior to payment of improper claims. This informative resource discusses a fraud management service solution that processes healthcare claims transaction data quickly and efficiently, applying domain-specific predictive models, artificial intelligence algorithms and risk scoring to identify and prioritize abnormal patterns indicative of healthcare fraud.