AI Solutions for Healthcare
August 2021 AI Alert

August 2021 AI Alert

Aug 30, 2021 | Forensic AI Alerts

Identifying Schemes within Personal Care Services When billing fraud schemes, abuse, and neglect of vulnerable Medicaid beneficiaries, there are things to look for regarding Personal Care Services (PCA) attendants (hereinafter referred to as attendants). PCA services...

FORENSIC AI PLATFORM

Our Forensic AI Engine analyzes your data, detects problems, and builds connections across your data to provide actionable insights

Insight Scope

For everyone across the health plan

Clinical Scope

For clinical teams

Audit Scope

For everyone across the health plan and PBM

Network Scope

For network teams

Payment Scope

For payment integrity teams

Provider Scope

For network and payment teams

Fraud Scope

For SIU teams

SERVICES

We provide a full range of professional services, from data migration and ongoing customer success through flexible virtual SIU options.