AI for Fraud, Waste, and Abuse
Rough estimates represent that approximately 30% of US healthcare spending falls under the category of fraud waste and abuse [1]. With 18% of US GDP falling under healthcare, that means that roughly 5% of the US GDP is associated with fraud waste and abuse.
Tenasol offers advanced options for FWA detection such as:
anomaly detection of fraud and abuse
detectors to identify low value care
detectors to identify failure of care
View our blog on the subject for more details.