Fraud

Low Integrity Claims

Low integrity medical and pharmacy claims are on the rise.  You probably have seen a recent article or two about health care workers who couldn’t resist the lure of additional income.  Some of these perpetrators milk the system in the…
WhitehatAI
June 28, 2018
CentaurFraudOpioids

The Rising Use of Opioids

Fraud and abuse for prescription drugs is a hot topic, and in particular the rising use of opioids. Sadly, an increasing number of people in the US have died from opioid overdoses — many of whom could have been saved…
WhitehatAI
June 28, 2018
Fraud

The Cost of “Pay and Chase”

An estimated $340 billion healthcare dollars are lost annually to fraud, waste and abuse in medical billing mistakes.  This is an enormous blow to health insurance organizations, particularly when some of these dollars are literally thrown away trying to fight…
WhitehatAI
June 27, 2018