Sponsored Webinar

TruvenFighting Fraud, Waste And Abuse With Algorithms: A Recipe For Success
Sponsored by Truven Health Analytics
September 15, 2015
2:00 p.m. - 3:00 p.m. ET


Fraud, waste, and abuse continues to proliferate in the healthcare industry. With an estimated $125 - $175 billion of annual healthcare spend attributed to fraud, commercial payers and federal and state agencies must continue their vigilance to fight it at all levels - from prevention, to identification, to recovery. Algorithms are an important ingredient to help find and recover program dollars.

Join experts from Truven Health AnalyticsTM on Tuesday, September 15th, from 2-3 p.m., as they highlight some of their clients' success stories in fighting fraud, and reveal the secret recipes that helped find aberrant billing practices and suspicious recipient behavior.

In this web seminar, you'll learn how clients across the healthcare industry:

  • Use algorithms as a recipe for success in the hunt for fraud, waste, and abuse
  • Found over $3 million in paid claims for ineligible case management services
  • Recovered over $2 million in restitution, costs, and fees from one provider, after an investigation into provider billing patterns for services not rendered
  • Use Vulnerability Assessment Analysis to prevent fraud, identify future savings opportunities, and help improve plan design

In addition, thought leaders from Truven Health will discuss some of the most costly sources of healthcare fraud and review how scrupulous attention to payment integrity issues can stop fraud and waste before it happens.