Provider fraud hits the bottom line directly, adversely affecting quality of care and health outcomes. Fraud, waste and abuse (FWA) takes on added meaning in our newly emerging world of performance/value models.
The growing complexity of risk-based payments is expanding the focus of PI/SIU/SUR departments. We need new analytics strategies to identify FWA in this new paradigm.
In this webinar, we will discuss techniques, algorithms and data investigations as the cutting-edge tools needed for today's fraud investigator.
Principal Solutions Architect Global Fraud, Risk and Security Intelligence Practice, SAS
With more than 30 years of health care experience, Tom Wriggins is a respected thought leader within government health care and data analytics. He is responsible for business analysis and analytics design, data management consultation, application and interpretation of comprehensive program/payment integrity, and data analysis solutions.