Highmark Inc.'s Anti-Fraud Department using Artificial Intelligence to reduce fraud, waste and abuse impact
Change Healthcare Inc. - Tangible Equity Units (CHNGU)
Company Research
Source: PR Web
PITTSBURGH (PRWEB) February 03, 2020 Highmark Inc.'s Financial Investigations and Provider Review (FIPR) department made a financial impact of over $260 million in savings related to fraud, waste and abuse in 2019 and has saved more than $850 million over the past five years. In 2020, FIPR is successfully using artificial intelligence (AI) to enhance the company's ability to identify, prevent and stop potentially fraudulent activities earlier than ever. "We know the overwhelming majority of providers do the right thing. But we also know year after year millions of health care dollars are lost to fraud, waste and abuse," said Melissa Anderson, executive vice president and chief audit and compliance officer, Highmark Health. "By using technology and working with other Blue Plans and law enforcement, we have continually evolved our processes and are proud to be among the best nationally."Kurt Spear, vice president of financial investigations and provider review for Highmark Inc., said
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