An overview of fraud, waste, and abuse Employers with self-funded employee healthcare plans often see the rising cost of healthcare as the price of doing …
[Read more...] about Identifying Provider Fraud in Employee Healthcare Claims
Reducing healthcare costs for self-funded employers
An overview of fraud, waste, and abuse Employers with self-funded employee healthcare plans often see the rising cost of healthcare as the price of doing …
[Read more...] about Identifying Provider Fraud in Employee Healthcare Claims
While the government works to prosecute COVID-related fraud schemes, employers have ways to eliminate those lost dollars too As the pandemic lingers …
[Read more...] about Widespread COVID testing is susceptible to fraud schemes
By Asha George
June 2019 During monthly monitoring of a client's claims, the SmartLight Analytics’ team identified potential abusive billing by a licensed …
[Read more...] about CASE STUDY: Uncovering potential abusive billing
SmartLight Analytics combines the best inferential analytic models with a team of analytic and clinical experts to find fraud, waste, and abuse in self-funded employer health care plan claims data.
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