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Recognizing the Signals for Potential DME Referral Schemes
Recognizing the Signals for Potential DME Referral Schemes

Generative AI Session Demonstrates ClaimPilot’s Ability to Improve Payment Integrity Outcomes
Generative AI Session Demonstrates ClaimPilot’s Ability to Improve Payment Integrity Outcomes

8 Fraud Scope Use Cases: Uncovering FWA Across Professional, Facility, Pharmacy and Dental Data
8 Fraud Scope Use Cases: Uncovering FWA Across Professional, Facility, Pharmacy and Dental Data

Customers Share How Fraud Scope Saved Nearly $400,000 From their Healthcare Payers’ Bottom Lines
Customers Share How Fraud Scope Saved Nearly $400,000 From their Healthcare Payers’ Bottom Lines

AI Alert November 2023
Unveiling Dental Fraud, Waste and Abuse: Exploring Oversight Challenges

Generative AI for Payment Integrity: The Vision and Promise to Improve Efficiencies & Costs
Generative AI for Payment Integrity: The Vision and Promise to Improve Efficiencies & Costs

AI Alert October 2023
Don’t Get Burned: Prepare for Superficial Radiation Therapy Claims

AI Alert September 2023
Navigating the Changing Landscape of Colonoscopy Billing: New Guidelines, Challenges, and Opportunities

AI Alert August 2023
Identifying leads related to REMS program medications

Forensic AI Alerts: Mid-Year Roundup
Educating Today’s Healthcare Executives with Game-Changing Knowledge

5 Best Practices for Getting Started with AI-Based Provider Education
5 Best Practices for Getting Started with AI-Based Provider Education

July AI Alert
Wrapping Your Head Around Transcranial Magnetic Stimulation (TMS) Treatments and Utilization Patterns
Maximize recoveries
uncover overpayments, billing errors, and fraud faster with AI-driven insights that identify patterns missed by traditional data mining tools