Heatlhcare fraud, waste and abuse are both on the increase as are the number of claims being generated. Add the complexity of ICD-10 coding and you have a detection and prevention challenge that is almost insurmountable. Enter the Centaur System from WhiteHatAI. We use the latest in AI and cognitive science to team man with machine to conquer the challenge and stop healthcare fraud, waste, and abuse in their tracks!
Medicare Advantage plans have created regulatory challenges in accurate claims submission and reporting. WhiteHatAI scientists have spent over 30 years developing systems that efficiently and effectively track, audit, and control pre-pay submissions for our Medicare Advantage clients.
Healthcare providers payment models are evolving to value-based healthcare delivery and MACRA (The Medicare Access and CHIP Reauthorization Act of 2015). Using AI technology to rapidly track and monitor healthcare fraud claims and population analytics pre-submission has long-term positive impacts on cash flow and labor costs. Find out what the Centaur System can do for you!