Industry Insights & Expertise

Access insights and perspectives from our team of payment integrity and FWA experts. Our podcast ‘Payment Integrity Perspectives’ features innovators and thought leaders who share a common goal to transform health plan engagement.

Articles

Reduce False Positives in Healthcare Fraud Detection

Part 2 of our series on how the SIU can use artificial intelligence to overcome common challenges. A.I. can reduce the fraud false positive rate to make the most of your limited investigator resources.

The Strategic Approach to Claims Cost Containment

Competing with other health plan functions for technology priority can lead to missed audit claims cost savings potential. An integrated payment integrity strategy breaks down these internal ...

Using A.I. to Unite Fraud and Payment Integrity

Part 1 of our series on how the SIU can use artificial intelligence to overcome common challenges. Bringing together fraud and payment integrity efforts on a single A.I.-powered platform can ...

Resources

A.I. for Healthcare Fraud Detection

In this on-demand webinar, Mark Isbitts, VP of Program Integrity at ClarisHealth discusses how you can use A.I. for healthcare fraud detection to answer SIU questions.

Combating Novel Fraud in the Age of a Novel Virus

Combating Novel Fraud in the Age of a Novel Virus ClarisHealth VP of Program Integrity Mark Isbitts joins VP of Marketing and Business Development Jason Medlin to offer 6 steps your health plan ...

Recent Podcasts