Healthcare fraud is a $70 billion a year problem – and growing. An HMS webinar addresses two of the latest ways to respond in the increasingly troublesome area of behavioral health claims:
- Shift cost-containment efforts from recovery to pre-pay. By recently combining a pre-pay audit platform with a post-pay clinical platform, HMS shares best practices that payers can use to stop erroneous payments before they happen.
- Apply new predictive models to behavioral health claims. The application of fresh variables based on linear regression to existing systems promise to increase recovery rates by up to 30%. Investigators will learn about the key variables to help reduce false positives – and target the most significant fraudulent claims.