As healthcare fraud, waste, and abuse (FWA) schemes continue to evolve, legacy fraud detection systems often fail to keep up with those intent on exploiting vulnerabilities in payment integrity systems. This leaves special investigation units (SIUs) overwhelmed, grappling with false positives and incomplete data that hinder their efficiency and effectiveness. At the same time, health plans are often hesitant to adopt new FWA solutions that require uprooting and displacing their current systems and processes that have been in place for several years. I invite you to join me and my colleague Vince Smith, FWA manager, as we present a solution to these challenges during our upcoming webinar, Join the Evolution: Advance Beyond Traditional Lead Detection, scheduled for Thursday, December 12 at 1 pm ET. During this 45-minute session, we’ll be exploring the ins and outs of 360 Pattern Review, our cutting-edge combination of our proven prepay Claim Pattern Review and brand-new postpay FWA Pattern Review.

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