Jessica Gay will be presenting.

Innovations in Payment Integrity: How AI Identified over $239M in FWA for One Healthcare Payer

Featuring:

• Jessica Gay, Integrity Advantage

• Tim McBride, Mastercard

• David Cusick, Milliman
  

About the Session:

This session will explore FWA problems and challenges; how AI drives operational efficiencies; actual examples of how AI identified fraudulent providers; and how AI models produce scores of suspiciousness per provider that allow SIUs to take actions to save their organizations hundreds of millions of dollars.