Dbriefs Webcast

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.

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Don Fancher

Don Fancher

US and Global leader | Deloitte Forensic

Don is a Deloitte Risk and Financial Advisory principal in Deloitte Financial Advisory Services LLP, and serves as the US national and global leader for Deloitte Forensic. He has more than 25 years of... More