Beyond Business Rules: Using AI to Detect Elder Care Fraud
By Shift Technology
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Today’s aging population is rising exponentially - not only in overall size but also in healthcare spend and complexity. Vulnerable to excessive billing, wasteful treatments and other suspect activity, health plans that rely on business rules and traditional detection methods is not enough to keep up with the increase of fraud and stay ahead of emerging schemes.
Download this industry report from Shift to learn:
Insight into the growth of the elderly population and healthcare spending
Example schemes targeting the elderly
Enhanced fraud detection methods to drive efficiency for the SIU and stay ahead of the emerging schemes targeting this growing population