A leading college of dentistry required an investigation into potentially inappropriate billing practices. Our expert reviewed billing practices for dental services and calculated the exposure to payers for those situations where the medical records did not support the level of services billed. The college used our professional’s work to voluntarily self-disclose to applicable payers with the confidence that their exposure had been defensibly quantified.
Harnessing artificial intelligence and machine learning to combat fraud: A new era in investigations
While the sophistication of fraud and financial crimes continues to grow, advancements in artificial intelligence (AI) and machine learning (ML) have...