Raleigh, NC — October 16, 2018 — An innovative healthcare AI software company, WhiteHatAI (www.whitehatai.com), today announced the release of the Centaur Software platform for detecting Fraud, Waste, and Abuse in healthcare transactions.
Peter Ransome, CEO/President, stated, “Artificial Intelligence has allowed for incredible innovation across the healthcare landscape and our team of industry veterans are at the forefront of that innovation. The Centaur platform places advanced artificial intelligence in the hands of the healthcare industry in an easy to deploy, cost-effective package. Most impressively, the Centaur learns and becomes “smarter” over time as the system interacts with data and users. The WhiteHatAI Centaur provides payers, providers, employers, and auditing firms with a platform that rapidly and accurately detects claim FWA problems pre-payment or post.”
Ransome went on to say, “As we are launching the WhiteHatAI Centaur for claims pre-payment auditing, WhiteHatAI is also releasing a powerful version of the Centaur for detecting Opioid Fraud, Waste, and Abuse. We chose to accelerate the release of the opioid system due to the seriousness of the crisis and are busy building our ecosystem of complementary partners”.
“WhiteHatAI also will be showcasing its commercially-ready Centaur at the Institute for Health Care Fraud Prevention’s Annual Conference October 29th through November 1st in Anaheim, California. NHCAA’s conference is the single most important health care anti-fraud event in the US.”
Fraudulent and inaccurate healthcare claims cost insurance payers $650+ billion annually. Prompt payment regulations have historically prevented the payer’s ability to fully review claims for fraud and abuse prior to payment. This situation, produces a post-payment “pay and chase” scenario where payers are forced to recover incorrect payments. 90+% of these incorrect payments are never recovered. The healthcare industry carries this tremendous cost burden, impacting all Americans and accessibility to healthcare quality of care.
The WhiteHatAI Centaur software platform is a true game changer. With an advanced AI fraud-detection system, healthcare payers can now examine every claim and claim line item pre-payment. Pre-payment auditing places WhiteHatAI’s clients in a positon to reduce and eliminate costly and problematic “pay and chase” scenarios.
WhiteHatAI Centaur is a deep learning, unique multi layered AI forensic tool built to complement existing systems and workflows that can be deployed either on-site or via the cloud.
WhiteHatAI is a leading innovator in AI healthcare applications. WhiteHatAI’s Centaur software detects FWA in healthcare claims. WhiteHatAI is owned and operated by a team of highly experienced healthcare professionals.
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