Whether it’s patients claiming false identities or providers misbilling for services, fraud, waste and abuse can be costly and damaging.
Explore the problems organizations face with fraud, waste and abuse and how IBM Watson helps overcome them.
Insufficient time to properly evaluate Medicaid claims
Lack of insight into performance of preventative care programs
Identity verification weaknesses and fraud vulnerabilities
Analysts can lose enormous amounts of time comparing claims to Medicaid policies to determine the correct payout.
Providers may not always follow proper Medicaid procedures, making it difficult to assess and improve these programs.
Expensive treatments might be avoided with better insight into the effectiveness of preventative programs, improving care and reducing costs.
Identity fraud increases costs for providers while also damaging your ability to prescribe and deliver the right care to the right people.