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| Healthcare and Fraud Prevention: Detect Suspicious Activity, Reduce Improper Payments and Improve Accuracy
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Available On Demand
It’s estimated that every year tens of billions of dollars are lost due to healthcare fraud, abuse and waste. Because healthcare organizations are under intense pressure to pay claims quickly, and their investigators often lack the resources and technology to effectively identify and combat fraudulent behavior, costs from fraud and abuse in the healthcare industry continue to rise. How can you uncover new fraudulent schemes, recognize patterns of non-compliant behavior and identify those likely to commit fraud in the future?
Join this webinar with Rob Mcginley, an expert in counter fraud strategy and analytics to find out about the innovative solutions from IBM that can help your organization achieve more proactively detect, prevent and stop fraudulent activity.
You will learn: - How to identify potentially fraudulent and abusive behavior using detection models that contain thousands of scheme classifications across multiple areas
- Ways to use data mining, predictive analytics tools and reports to see past behaviors, flag suspicious patterns and predict the likelihood of future fraud
- How to use advanced analytics and automated processes to reduce costs as well as risk
Speaker:
Robert McGinley
Counter Fraud Solutions CoC Healthcare Lead
IBM
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