#himss2024 | Connect with Stephen Sideris, Lucas Gallardo, and Kleber Gallardo to discuss our solutions for #healthcare payers -- #AI powered data and analytics platform for #paymentintegrity / #FWA / #casemanagement. Dive deeper into our unique expertise for claims system IT modernization, #deidentification / #PHIsecurity, and #valuebasedcare accelerators. Learn more: https://lnkd.in/eFKnJUC4 #claimsmanagement #healthtechnology #paymentdata #frauddetection #fraudprevention
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Provider Credentialing – It's a continuous, everyday event with the 4L Data Intelligence™ provider data and integrity solution. Learn more about continuous provider credentialing powered by Integr8 AI Risk Prevention™ technology at HPRI East 2024 in Boston on May 22-23. Approved with changes, please proof. Healthcare Payment & Revenue Integrity Series (HPRI) #HPRIEast #Paymentintegrity #paymentintegrityvendors #fraud #healthcarefraud #healthcare #AI #artificialintelligence
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Healthcare fraud is pervasive and costly, draining billions of dollars annually from the U.S. healthcare system. The Department of Justice (DOJ) has intensified its efforts to combat this problem, increasingly relying on sophisticated data analytics as a primary tool in its arsenal. This article delves into the intricate ways data is utilized to detect and prevent healthcare fraud, showcasing essential techniques and real-world case studies and emphasizing the critical need for vigilance among healthcare entities in the face of heightened DOJ scrutiny. Read more on our blog: https://lnkd.in/ep3hXTQW #AI #AIEthics #Healthcare #ChuckGallagher #AIKeynote
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I enjoyed learning and then writing about this proposed initiative to utilize #AI to detect #Medicare fraud. We'll see where this proposal ends up, so stay tuned! #writing #CMS #fraud #HHS #beneficiaries #artificialintelligence #editing #contentcreation #laboratorymedicine #laboratoryscience
Could Medicare fraud be a thing of the past? Discover how AI can revolutionize the detection of suspect payments in healthcare. Join Tara Cepull as she outlines a new pilot program aimed at using AI to scrutinize payments for diagnostic tests and durable medical equipment. 💡 This initiative isn't just about catching fraud; it's about ensuring that resources reach those who truly need them, making healthcare more efficient and trustworthy for everyone. Don't miss out on this enlightening discussion! Learn more and help spread the word by clicking the link and sharing with your network: https://lnkd.in/eE9VgKTU #HealthcareInnovation #AIMedicare #FraudPrevention
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Provider Credentialing – It’s An Everyday Event The 2024 AAPAN Innovations Retreat is right around the corner. Provider data and directory management, provider integrity, credentialing, and NSA compliance will certainly be hot topics. How often should provider data be updated – annually, quarterly, monthly? At 4L Data Intelligence we say, “Update provider demographic, directory, and integrity data every day!” We call that continuous credentialing – a necessity in an environment where payment integrity and affordability are critical and where regulatory pressures to maintain accurate directory data are a big threat. Learn more about continuous provider credentialing with the 4L Provider Intelligence solution powered by Integr8 AI Risk Prevention technology. See you at AAPAN 2024, April 23-23 in St. Pete Beach, FL. #AAPAN American Association of Payers, Administrators and Networks #AAPAN2024 #providerintegrity #paymentintegrity #data #AI #healthcare #4LDATA
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Curious about the risks and benefits of #AI-enabled #MedicalDevices? We discuss that as well as solutions for mitigating bias in our latest insight. https://hubs.ly/Q02qzLCx0
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Curious about the risks and benefits of #AI-enabled #MedicalDevices? We discuss that as well as solutions for mitigating bias in our latest insight. https://hubs.ly/Q02qjch40
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Strengthening payment integrity is essential for reducing fraud and optimizing costs in healthcare. Matthew Hawley dives into how AI and data-driven strategies are transforming payer operations. (Link in comments) #HealthDataManagement #PaymentIntegrity #AIInHealthcare #FraudDetection #DataMining
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Fraud & Financial Crimes Partnerships & Strategic Initiatives Lead | Vice President with ACFE Austria
Health care fraud, waste, abuse and error divert billions annually from patient care, so it’s important for health care organizations to use GenAI in the claims and investigation process to root out wasteful spending. Along with its benefits, though, it’s important to understand GenAI’s risks. Fraudsters also use AI and GenAI to divert payments from legitimate claims. Join us for this live webinar on May 23rd to learn how important it is to stay ahead with AI and GenAI to prepare for new and emerging risks. http://2.sas.com/6043jaSgc #GenerativeAI #FWA #HealthCareFraud
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Health care fraud, waste, abuse and error divert billions annually from patient care, so it’s important for health care organizations to use GenAI in the claims and investigation process to root out wasteful spending. Along with its benefits, though, it’s important to understand GenAI’s risks. Fraudsters also use AI and GenAI to divert payments from legitimate claims. Join us for this live webinar on May 23rd to learn how important it is to stay ahead with AI and GenAI to prepare for new and emerging risks. http://2.sas.com/6043jvNeJ #GenerativeAI #FWA #HealthCareFraud
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Product Marketing Expert at SAS. Love B2B marketing and using my expertise to help companies get the most value from Internet of Things (IoT) investments through the power of AI & advanced analytics.
Health care fraud, waste, abuse and error divert billions annually from patient care, so it’s important for health care organizations to use GenAI in the claims and investigation process to root out wasteful spending. Along with its benefits, though, it’s important to understand GenAI’s risks. Fraudsters also use AI and GenAI to divert payments from legitimate claims. Join us for this live webinar on May 23rd to learn how important it is to stay ahead with AI and GenAI to prepare for new and emerging risks. http://2.sas.com/6049jabuH #GenerativeAI #FWA #HealthCareFraud
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