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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