As healthcare fraud, waste, and abuse (FWA) schemes continue to evolve, legacy fraud detection systems often fail to keep up with those intent on exploiting vulnerabilities in payment integrity systems. This leaves special investigation units (SIUs) overwhelmed, grappling with false positives and incomplete data that hinder their efficiency and effectiveness. At the same time, health plans are often hesitant to adopt new FWA solutions that require uprooting and displacing their current systems and processes that have been in place for several years.
I invite you to join me and my colleague Vince Smith, FWA manager, as we present a solution to these challenges during our upcoming webinar, Join the Evolution: Advance Beyond Traditional Lead Detection, scheduled for Thursday, January 16, 2025 at 1 pm ET. During this 45-minute session, we’ll be exploring the ins and outs of 360 Pattern Review, our cutting-edge combination of our proven prepay Claim Pattern Review and brand-new postpay FWA Pattern Review.
Attend the webinar as we explore how your health plan can achieve:
- Rapid ROI through automated detection: Discover how the 360 Pattern Review leverages AI to quickly identify potential FWA, significantly reducing the time and effort required to validate suspect providers.
- Early identification of FWA: Learn how this advanced solution helps your SIU catch fraudulent schemes earlier, preventing extensive financial losses and improving overall efficiency.
- Increased productivity: See how eliminating false-positive leads and optimizing data analytics empower your team to focus on genuine threats, boosting productivity and effectiveness.
Can’t attend the live webinar? Go ahead and register so that we can send you the on-demand recording afterwards.
Our webinar includes a live demo of the FWA Pattern Review, showcasing its capabilities and how it can transform your FWA detection efforts. Don't miss this opportunity to stay ahead of the curve and enhance your FWA program.
