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Healthcare Fraud Shield推出FWA360Leads,使医疗保险公司能够自动识别欺诈、浪费、滥用和错误方案

Healthcare Fraud Shield Launches FWA360Leads, Enabling Healthcare Insurance Companies to Automatically Identify Fraud, Waste, Abuse, and Error Schemes

CISION 等信源发布 2024-01-25 21:59

可切换为仅中文


FWA360Leads Eliminates Manual Analytics – Significantly Saving Time and Reducing Cost

FWA360Leads消除了手动分析,大大节省了时间并降低了成本

CHESTERFIELD, Mo., Jan. 25, 2024 /PRNewswire/ -- Healthcare Fraud Shield (HCFS), a leading provider of fraud, waste, abuse, and error (FWAE) protection solutions for the healthcare insurance market, launched FWA360Leads®, a new product that automatically identifies and prioritizes FWAE leads based on order of importance and impact severity..

密苏里州切斯特菲尔德。,2024年1月25日/PRNewswire/--医疗保险市场欺诈、浪费、滥用和错误(FWAE)保护解决方案的领先提供商Healthcare Fraud Shield(HCFS)推出了FWA360Leads®,这是一种新产品,可根据重要性和影响严重程度自动识别和优先排序FWAE leads。。

The HCFSPlatform™ is the backbone of many top healthcare insurance companies' FWAE & payment integrity strategies – delivering millions of dollars in savings, recoveries, and prevented losses each year.

HCFS平台™是许多顶级医疗保险公司的FWAE和支付完整性战略的支柱,每年可节省、收回数百万美元,并防止损失。

Healthcare insurance companies have limited resources and time to identify, qualify, and accept new FWAE leads as either pre-pay reviews or post-pay cases. HCFS developed FWA360Leads® to eliminate this pain by automating lead detection.

医疗保险公司只有有限的资源和时间来识别、鉴定和接受新的FWAE线索,无论是支付前审查还是支付后案例。HCFS开发了FWA360Leads®,通过自动化铅检测来消除这种痛苦。

A major functional addition to HCFS's FWA Precision Engine™, FWA360Leads® allows leads to be detected, presented, reviewed, and accepted in the typical workflow of a healthcare plan. Leveraging AI models to make this happen along with machine learning, HCFS receives user feedback and then automatically recalibrates the lead feed.

HCFS的FWA精密引擎的主要功能补充™, FWA360Leads®允许在医疗保健计划的典型工作流程中检测、呈现、审查和接受潜在客户。利用人工智能模型以及机器学习实现这一点,HCFS接收用户反馈,然后自动重新校准潜在客户反馈。

Prioritization is measured by mapping these response behaviors alongside our industry-standard library of alerts..

优先级是通过将这些响应行为与我们的行业标准警报库进行映射来衡量的。。

'We're thrilled that early adopters of FWA360Leads® reported high ROI from the product,' said Karen Weintraub, EVP, HCFS. 'Namely, they are now able to both eliminate tedious manual analytics and identify new important leads they would otherwise have likely missed. This product represents the ongoing evolution of HCFS, always seeking to leverage the latest technological innovations in pursuit of protecting our customers from FWAE and providing them millions in savings that they would otherwise never achieve.'.

HCFS执行副总裁凯伦·温特劳布(KarenWeintraub)说:“我们很高兴FWA360Leads®的早期采用者报告了该产品的高投资回报率。”也就是说,他们现在既能够消除繁琐的手动分析,又能够识别出可能会错过的新的重要线索。该产品代表了HCF的不断发展,始终寻求利用最新的技术创新来保护我们的客户免受FWAE的影响,并为他们节省数百万美元,否则他们将永远无法实现。”。

Business benefits include:

商业利益包括:

Higher value leads combining the power of Artificial Intelligence and HCFS library of over 1,200+ medical alerts.

结合人工智能和超过1200个医疗警报的HCFS库的强大功能,价值更高。

Use of machine learning reducing false positives, increase precision and accuracy.

使用机器学习减少误报,提高精度和准确性。

Increased efficiency by using less resources and increasing savings.

通过使用更少的资源和增加节约来提高效率。

Proactively and prioritizes greatest risks through early detection using pre-payment

通过使用预付款进行早期发现,积极主动并优先考虑最大风险

Identified insights create immediate actionable intelligence through pre-payment, provider education, audit, and case prioritization.

通过预付款、提供者教育、审计和案例优先级排序,确定的见解可以立即产生可采取行动的情报。

For more information, please visit www.hcfraudshield.com.

有关更多信息,请访问www.hcfraudshield.com。

About Healthcare Fraud Shield

关于医疗欺诈盾

Healthcare Fraud Shield provides new and unique Fraud, Waste, Abuse, and Error (FWAE) automated solutions to the healthcare industry. Our exclusive data solutions and investigative expertise deliver maximum results in the detection and prevention against fraud, waste, abuse, and error for payment integrity and special investigation units.

Healthcare Fraud Shield为医疗保健行业提供新的、独特的欺诈、浪费、滥用和错误(FWAE)自动化解决方案。我们独家的数据解决方案和调查专业知识为支付完整性和特殊调查部门提供了最大限度的检测和预防欺诈、浪费、滥用和错误的结果。

Leveraging our comprehensive fraud, waste, abuse, and error detection experience, we deliver fresh insights and new approaches to combat the largest challenge of our time - the delivery of honest, efficient, and compassionate healthcare..

利用我们全面的欺诈、浪费、滥用和错误检测经验,我们提供了新的见解和新的方法来应对我们时代最大的挑战-提供诚实、高效和富有同情心的医疗保健。。

Media Contact:Tony RademeyerHealthcare Fraud Shield1-888-333-8140[email protected]

媒体联系人:Tony RademeyerHealthcare Fraud Shield1-888-333-8140[受电子邮件保护]

SOURCE Healthcare Fraud Shield

SOURCE Healthcare欺诈盾