ON-DEMAND NHCAA ATC PANEL SESSION

Save millions of dollars in FWA while improving operational efficiencies

With an estimated $300 billion lost annually to healthcare fraud, waste and abuse, innovation is needed to mitigate fraud. Learn from a 2021 case study how Mastercard Healthcare Solutions™ AI technology, data scientists and FWA experts developed behavioral profiles to identify atypical services.

Watch this panel session to learn how AI:

  • Identified over $239 million of previously unknown fraudulent claims, 2,700 high-risk providers and improved detection by 3X for one regional healthcare insurer
  • Drives operational efficiencies across organizations
  • Produces scores by levels of suspicion to enable SIUs to take action and save millions of dollars for their organizations

PRESENTERS

Tim McBride Guests In Brighterion On-Demand Webinar

Tim McBride

Tim McBride
Director of Healthcare Product Development and Innovation, Mastercard
AHFI

Jessica Gay: Vice President and Co-Founder, AHFI, CFE, CPC, Integrity Advantage

Jessica Gay

Vice President and Co-Founder, Integrity Advantage
AHFI, CFE

Brighterion Recorded Webinar: Turn Data Into Intelligence With David Cusick

David Cusick

Principal and Healthcare Technology Consultant
Milliman

Please contact sales@Brighterion.com should you wish to speak to an AI expert or request a copy of any of our eBooks, white papers or to view one of our pre-recorded webinars.

Save millions of dollars in FWA while improving operational efficiencies

With an estimated $300 billion lost annually to healthcare fraud, waste and abuse, innovation is needed to mitigate fraud. Learn from a 2021 case study how Mastercard Healthcare Solutions™ AI technology, data scientists and FWA experts developed behavioral profiles to identify atypical services.

Watch this panel session to learn how AI:

  • Identified over $235 million of previously unknown fraudulent claims, 2,700 high-risk providers and improved detection by 3X for one regional healthcare insurer
  • Drives operational efficiencies across organizations
  • Produces scores by levels of suspicion to enable SIUs to take action and save millions of dollars for their organizations

PRESENTERS

Tim McBride Guests In Brighterion On-Demand Webinar

Tim McBride

Tim McBride
Director of Healthcare Product Development and Innovation, Mastercard
AHFI

Jessica Gay: Vice President and Co-Founder, AHFI, CFE, CPC, Integrity Advantage

Jessica Gay

Vice President and Co-Founder, Integrity Advantage
AHFI, CFE

Brighterion Recorded Webinar: Turn Data Into Intelligence With David Cusick

David Cusick

Principal and Healthcare Technology Consultant
Milliman