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Bringing AI To The Fight Against Healthcare Payments Fraud.

Bringing AI To The Fight Against Healthcare Payments Fraud.

The coronavirus pandemic poses an unprecedented challenge to healthcare systems that will likely extend for months — and perhaps even years — to come. More than ever, hospitals and other medical facilities need to focus their resources on healing the sick and avoid getting bogged down by administrative costs and inefficiencies.

This brings a longstanding challenge to the fore: Healthcare organizations have long struggled with fraud, waste and abuse (FWA), costing the United States healthcare sector more than $200 billion annually by some estimates. This reflects the complexities of a payment chain in healthcare that involves multiple entities, including patients, insurers, providers and government agencies.

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