fraud investigation dashboard - appian

Healthcare Payers and Providers | Governance, Risk and Compliance
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Fraud, Waste, and Abuse Investigation

A proactive approach to detect and stop fraud, waste, and abuse

Fraud, waste, and abuse (FWA) is becoming an increasing problem for healthcare organizations, particularly healthcare payers. Most plans have a way to detect FWA, but they can be cumbersome and lack the urgency they need for faster financial recovery. Organizations need a unified view of their FWA cases in progress for easy access for their agents and coordination with law enforcement. This requires a superior case management solution that reduces annual processes and allows for easy automation.

  • Automate FWA from intake to case closure
  • Streamline reporting for faster resolve
  • Accelerate monetary recovery

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