A method of processing a medical claim includes receiving a medical claim associated with a patient; creating a digital twin of the patient; mathematically analyzing whether the medical claim comports with the digital twin; and outputting an indication of potential claim fraud if the medical claim ...
International Journal of Comparative and Applied Criminal JusticeWilson, P. R., Geis, G., Pontell, H. N., Jesilow, P., & Chappell, D. (1985). Medical fraud and abuse: Australia, Canada, and the United States. International Journal of Comparative and Applied Criminal Justice, 9(2), ...
Working on behalf of the employer and payer, the claims professional strives to fairly cover the injured worker’s medical care and time away from work, but you also want to guard against conditions not covered by WC, as well as inappropriate treatment and potential abuse of the system. When...
Training and compliance for the U.S. federal OSHA Occupational Exposure to Bloodborne Pathogens standard (29 CFR 1910.1030) which protects workers against the health hazards from exposure to blood and other potentially infectious materials. Learn more Fraud Waste and Abuse Training Training and comp...
Personal Healthcare Portfolio � "Without PHP patients are exposed to medical errors, unwarrented healthcare costs and medical fraud, waste and abuse." Personal Healthcare Portfolio (PHP) PHP empowers families, individuals and their loved ones to take charge of their healthcare experience by ena...
Protect the integrity of your health plan and determine accurate pricing with the Context4 Health Plans Suite, our modular, cloud‑based technology platform.Learn More › Solutions to empower your organization Payment Integrity Immediate, actionable, and defensible Fraud, Waste, and Abuse (FWA) de...
• Fraud, waste and abuse. What insurers can do The cost management strategies below can be incorporated to lower cost: Value based care programmesencourage efficient care and reduce unnecessary treatments. In our international market, most services are reimbursed under fee-for-service, but there ...
Protect the integrity of your health plan and determine accurate pricing with the Context4Health Plans Suite, our modular, cloud‑based technology platform. Solutions to empower your organization Payment Integrity Immediate, actionable, and defensible Fraud, Waste, and Abuse (FWA) detection built by...
In recent years, the number of fraud cases in basic medical insurance has increased dramatically. We need to use a more efficient method to identify the fraudulent users. Therefore, we deploy the cloud edge algorithm with lower latency to improve the security and enforceability in the operation ...
Twitter Google Share on Facebook incineration (redirected fromWaste-to-energy plant) Dictionary Thesaurus Encyclopedia incineration [in-sin″ĕ-ra´shun] theactofburningtoashes. Miller-KeaneEncyclopediaandDictionaryofMedicine,Nursing,andAlliedHealth,SeventhEdition.©2003bySaunders,animprintofElsevier,Inc...