Fraud, Waste, and Abuse (FWA) is a continuing problem for all healthcare payers. The size, persistence, and growth of the problem suggests that a new approach is needed. This webinar will present the case for a new approach in which the goal is to effect a pre-pay behavior change rather than post-pay enforcement and recovery. The benefits of a successful pre-pay behavior change solution include a cost effective impact on small FWA, “high tech, low touch”, i.e. technology over professional staff, dollar for dollar savings versus pennies on the dollar recovery, and network effects.
What you’ll learn:
Who should participate:
Franklin M. Din, DMD, MA is Chief Medical Information Officer for FraudLens, Inc. and is responsible for developing advanced healthcare fraud detection and prevention based on a behavior change approach in conjunction with the principals of “Broken Windows”. He brings experience, expertise, and knowledge in clinical care, healthcare policy, forensics, and biomedical Informatics, to lead a team of software engineers, HIT experts, visualization and user interface developers to produce unique software solutions that address the most perplexing healthcare issues. He successfully designed and developed the powerful yet easy to use fraud detection solution, FraudLens. Prior to co-founding FraudLens, Inc., Frank worked for HP Enterprise Services, as Executive Director of the Medical Informatics Center of Excellence (MICOE) and the Medical Informaticist for HP Enterprise Services global eHealth Strategy team.
Training That Gives You Real Credentials
The Health Care Anti-Fraud Associate Designation (HCAFA) designation helps you understand types of health insurance fraud and abuse — including provider, consumer, Agent & Broker, and employee fraud. To acquire the HCAFA designation, you must pass both the Fraud, Parts I and II courses, and view one Anti-Fraud webinar. Start Earning Your Anti-Fraud Designation Today.
The on-demand version of this webinar will be eligible for credits towards The Health Care Anti-Fraud Associate Designation (HCAFA). More information will be provided after the live session.