White Paper

An Innovative Data-Driven Approach to Reduce Fraud, Waste, and Abuse for Government Healthcare Payers

An Innovative Data-Driven Approach to Reduce Fraud, Waste, and Abuse for Government Healthcare Payers

Fraud Detection and Prevention Suite for Government Healthcare Even as the country is in the middle of the COVID-19 crisis, we find that fraud, waste, and abuse (FWA) persist, particularly undermining government-funded healthcare programs. Fraud and Program Integrity units nationwide navigate a complex range of scenarios, from basic errors to elaborate criminal schemes. Government investigators rely on vast experience, sharp instincts, and unwavering persistence to uncover wrongdoing, but they are often limited by shrinking budgets, large workloads, and resource constraints amidst increasing program participation.

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