Join the evolution: Advancing beyond traditional lead detection
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Overwhelmed staff, disparate data sets, and overlooked claims all make it more difficult to manage healthcare fraud, waste, and abuse (FWA), and perpetrators of FWA continue to evolve their schemes to exploit these difficulties. Shouldn’t your FWA program evolve too?
Cotiviti is turning the notion of traditional fraud detection software on its head by introducing AI-driven 360 Pattern Review: an unmatched combination of our proven prepay Claim Pattern Review and the brand-new postpay FWA Pattern Review.
Watch our on-demand webinar to learn how 360 Pattern Review empowers your SIU to:
- Deliver rapid ROI through automated detection
- Identify potential FWA earlier
- Eliminate wasted time spent on false-positive leads
- Boost staff productivity
Don’t miss this opportunity to join the evolution and take your FWA programs to the next level.
Webinar presenters
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Ryan Cleverly, AHFI Ryan is responsible for the strategic direction of Cotiviti’s FWA product offerings, including both postpay and prepay FWA detection. Previously, Ryan worked as a criminal investigator investigating allegations of all types of insurance fraud including healthcare and pharmaceutical fraud. Ryan also worked on a Federal Healthcare Task Force focused on provider fraud and conducted multiple complex healthcare investigations. |
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Vince Smith, AHFI, CFE Vince is responsible for analyzing and interpreting claims data to identify potential FWA, conducting extensive fraud investigations on behalf of private insurers, and assisting with the recovery efforts for schemes identified with the investigations. Prior to joining Cotiviti, he was a contracted senior compliance auditor for CMS and worked with the Division of Compliance Enforcement (DCE) to identify fraud and non-compliance occurring within federally funded health plans. |