Claims fraud has infected the insurance industry for decades, impacting nearly all lines and now costing billions of dollars nationwide. The good news is that new technology gives us better ways to identify and stop fraud before it’s a high exposure loss.
Read More In July of 2022, the Department of Justice announced criminal charges related to "ghost patients" for more than $1.2 billion in alleged fraudulent telemedicine, cardiovascular and cancer genetic testing, and durable medical equipment schemes. Additionally, the Centers for Medicare & Medicaid Services, and Center for…
Read More 7-10% of patients are misidentified when their EMPI and EHR records are being researched. The American Health Information Management Association reports that 8-12% of EHR records are duplicates. Preventable medical errors are the third leading cause of death in the United States, causing an estimated…
Read More Maintenance costs are estimated to range between 15% and 40% of total production costs. In the last three years roughly 82% of companies experienced at least one instance of unplanned downtime; in just the automotive industry alone, the average manufacturer loses $22,000 per minute when…
Read More Roughly 2.3 million Americans are victims of medical identity theft per year and have to pay an average of $13,450 in out-of-pocket expenses–two-thirds of those patients reported paying over 13,500. Medical identity theft is estimated to cost the healthcare industry over $30 billion a year.…
Read More Avijit Datta is CEO of Aviana Global Technologies, a company dedicated to working with organizations that need predictive analytics to make better decisions, effectively manage risk and improve profitability.
Read More To navigate the chaos of the market, every enterprise needs discipline, direction, and order. COOs uphold these standards. Increasing customer satisfaction under the shifting trends and preventing losses while improving profits are challenges a COO faces every day. How does a savvy COO overcome these…
Read More The pandemic in 2020 has exacerbated the problem of fraud and abuse in the banking industry. This article identifies the specific fraud trends that banks had to look out for in 2020, helping you to prepare for future risk.
Read More The advent of Telehealth and Telemedicine have resulted in a proliferation of these instances. How do we deal with this altered environment? How do we stay ahead of the curve of emerging new fraud strategies?
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