The majority of health insurers’ fraud, waste and abuse (FWA) investigations take place after claims are paid, not before — and consumer payments can be...
The average United States healthcare insurer has 22% of all claims flagged for fraud, waste and abuse (FWA) investigation, costing them roughly 12% of the...
In the battle against healthcare fraud, where the job is to make sure cyberattackers don’t make off with sensitive data or funds, it might seem...
Fraud and abuse in healthcare billing is as old as health insurance at the very least and remains a damaging drain on a system already...
In June of this year, a jury found a chiropractor guilty of defrauding health insurers out of $2.2 million by fraudulently billing for services that...
Although the total number of banks that use artificial intelligence (AI) to assess credit risk has tripled in the past three years, those gains have...
It’s been a while since cash was king here in the U.S., but in other parts of the world, such as South America, paper money...
Credit risk decisioning is being called out as the biggest challenge facing banks and financial institutions (FIs) in a time of rebuilding. Banks and FIs...
Not that long ago banks and financial institutions (FIs) made technology investments that typically put the company’s interests first and its customers’ second (or third)....