Brighterion
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Category: Healthcare FWA
Mastercard’s AI helps Milliman detect significant healthcare provider fraud
When payment integrity provider Milliman wanted to improve how it detects fraud for its healthcare payer customers, they collaborated with Mastercard® Healthcare Solutions to conduct a pilot using Mastercard’s proven AI solutions. They had no [...]
Cybersecurity in healthcare: how to prevent cybercrime
In 2020, large healthcare data breaches in the U.S. occurred almost twice daily, 25 percent more than 2019, which was also a record-breaking year. What’s going on? What is healthcare cybercrime? Cybersecurity is a growing [...]
NHCAA 2020 Annual Training Conference presents “Top 5 ways AI can supercharge your SIU”
SIUs are faced with unprecedented challenges that require a unique skill set complemented by the most current and innovative technologies. In a fireside chat at the NHCAA 2020 ATC, Tim McBride, AHFI, and Jessica [...]
Top 5 ways AI supercharges financial investigations: secrets from a special investigator
AI is becoming the standard for financial investigations, but uptake varies amongst other industries. We interviewed accredited fraud investigator Tim McBride of Mastercard and asked him to explain how AI supercharges financial investigations. Financial [...]
Healthcare FWA during COVID-19: how to protect your organization with AI
Things are moving quickly during the pandemic, and healthcare plans are pressured to expedite payments while identifying fraud. Healthcare FWA during COVID-19 increases the need to verify claims while preparing for the challenges ahead. [...]