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Why Meet With Shift During NHCAA ATC?

Solutions from Shift Technology help insurers uncover 4x more fraud, waste and abuse, increase detection accuracy, and boost investigative efficiency

Visit booth #129 for a demo or schedule a meeting with us
learn how you can increase SIU Efficiency by 200%

Attend our NHCAA session on thursday, november 17 at 11:15 in the regency ballroom p

breaking the rules of behavioral health fraud detection

Health plan members have increased access to a large number of virtual behavioral health services — but what's good for patients also creates a rich environment for evolving fraud schemes.  It's becoming more challenging for SIUs to stay ahead of these schemes with static, rules-based methods. Learn from Shift healthcare fraud experts on what happens when investigators break out of the confines of rules-based detection methods, and learn how to take your SIU to the next level.

In this session, attendees will learn:
  • Rise and impact of behavioral health fraud
  • Emerging behavioral health schemes
  • How to break the traditional rules of
    • Entity resolution
    • Fraud alerts
    • Network-level detection

More About Shift

On Demand Webinar: The Rise and Impact of Clinical Trial Fraud 

“Participants needed! Cash for the cure!” If it sounds too good to be true, then it probably is. Watch our newest on demand webinar from Shift Technology  and Integrity Advantage fraud experts as they discuss the rise and impact of clinical trial fraud on patients and health plans, and steps to take to identify fraudulent clinical trials.

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Read Our Whitepaper: Time to Shift Away From the Traditional FWA Detection Approach

Talent shortage? No problem. When insurers use AI that’s specialized to the insurance industry, they can create a more skilled and motivated workforce with the press of a button. Automating previously manual tasks improves employee retention by making their jobs more interesting – freeing them to work on more complex tasks. This has the welcome side effect of improving the customer experience as well.

Video Interview: A 360° View on Alerts, All In One Place 

Mark Starinsky, AHFI, CFE, CHC and Shift Healthcare Product Lead, explains how the Shift solution unifies investigative information and resources into a single alert dashboard, adding context that can vastly accelerate investigation timelines.

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