Dusting for digital fingerprints: Beyond the claims data Bookmark has been added
Dusting for digital fingerprints: Beyond the claims data
Transactions & Business Events
July 31 | 2 p.m. ET
Host: Don Fancher, principal, Deloitte Financial Advisory Services LLP
1 Overview CPE credit | Specialized Knowledge
Health care fraud, waste, and abuse was traditionally detected through a combination of business rules and models run against eligibility and claim-level data. After a decade of cyber learning, additional tools and techniques have emerged that can significantly enhance the ability to catch increasingly sophisticated fraud schemes. We'll discuss:
- The current state of health care fraud, waste, and abuse.
- How supplementing claims applications with log data sets can result in higher quality risk scoring.
- Considerations for modernizing fraud, waste, and abuse detection programs.
Participants will discover how emerging technologies and cyber learning can accelerate organizations' ability to catch improper payments before they go out the door.