4L Data Intelligence™

📊 New Kisaco Research Report: "Advanced AI in Healthcare Payment Integrity: A Provider-Centric Approach"   Kisaco Research released a new market research study on artificial intelligence in payment integrity on August 28, 2024. This study focuses on AI's role in transforming payment integrity. Key findings reveal the demand for provider-centric solutions that enable payers to see the FWA they know is there and prevent losses pre-payment. 🎰 Discuss insights and how patented, Integr8 AI Risk Detection™ technology increases pre-payment FWA detection by seeing provider behaviors and relationships in near real-time. Learn more and attend the seminar at HPRI West in Las Vegas, September 11-12. Visit us at Exhibit #2. #HPRIWest #4LDataIntelligence #PaymentIntegrity #ArtificialIntelligence #AI

The Claims Overpayment PROBLEM: Legacy claims data-centric FWA approaches CAN'T SEE dynamic provider behaviors and relationships and MISS the context in which claims are submitted for payment. The Claims Overpayment Prevention SOLUTION: Provider-centric FWA detection and prevention that continuously analyzes every claim in the context of all claims and all providers...all in near real-time. Join Us at Self-Insurance Institute of America, Inc. National Conference, Exhibit #103. Discover the value of seeing every provider behavior, trend, pattern, relationship, and outlier in near real-time. #ArtificialIntelligence #AI #FraudDetection #Fraud #FWA #HealthCare #SIIALEAD #SIIA #SelfInsurance

Problem: A provider's claims volume spiked 80X in 1 day. Can you see it in real time? Solution: 4L FWA Prevention™ powered by Integr8 AI™. The revolutionary provider-centric FWA approach detects billing spikes BEFORE the damage is done. Find, Fight, and Prevent FWA Fast™ • Patented Integr8 AI Risk Detection™ technology • Near real-time monitoring of provider behaviors • Proactive FWA prevention for self-insured plans Protect your self-insured health plan from high-cost billing spikes and other provider schemes that rules-based claims editing technology cannot see. Learn how at Self-Insurance Institute of America, Inc. Conference Exhibit #103. #SIIA2024 #SelfInsurance #FWAPrevention #PaymentIntegrity #HealthcareCosts #AI #artificialintelligence

Problem: Healthcare fraud, waste, and abuse costs billions annually and legacy claim data-centric solutions miss what's hiding in plain sight. Self-insured payers know FWA is there but can't see it with current technology. Solution: 4L FWA Prevention Solution PREVENT THE FWA YOU KNOW IS THERE With the provider-centric FWA prevention approach, powered by patented Integr8 AI Risk Detection™ technology: More detection. More prevention. A LOT LESS COST. Find, Fight, and Prevent FWA Fast™. See your new future at SIIA 2024 at Exhibit #103. Self-Insurance Institute of America, Inc. https://hubs.li/Q02Q96h00

4L Data Intelligence is pleased to be a sponsor of SIIA24 LEAD Conference #SIIALEAD Self-Insurance Institute of America, Inc. NATIONAL CONFERENCE SEPTEMBER 22-24, 2024 Visit exhibit #103 to learn how our provider-centric FWA prevention solution: • Provides 5 to 15% immediate improvement in total claims cost reduction. • Delivers ROI of up to 25:1 on advanced CMS edits alone • Prevents ineligible providers from submitting claims with near real-time surveillance • Detects high-cost billing spikes in near real-time. Discover how every self-insured health plan can prevent the FWA costs you know are there. #AI #ArtificialIntelligence #Fraud #FraudPrevention #Medical #HealthCare

Which abusive provider billing behaviors and relationships are you missing? You know they are there. If you could save tens of millions of dollars in pre-payment FWA prevention right now with a guaranteed immediate ROI, would you? A recent poll of payment integrity executives from Kisaco Research showed that 56% of Payment Integrity and SIU teams consider provider schemes like Claims Billing Spikes to be the most critical FWA behavior to detect and prevent automatically in near real-time, pre-payment. Patented Integr8 AI Risk Detection™ technology is the answer. Detect and prevent Billing Spikes, unauthorized provider claims submissions, ownership collusion, referral collusion, and even increase basic CMS edits immediately with the power of provider-centric Integr8 AI™. Visit us at HPRI West, September 11-12, Exhibit #2. #HealthcarePaymentIntegrity #FWAPrevention #AI #artificialintelligence

How much is your legacy claims data-centric, rules-based, pre-payment editing workflow costing you each year? Millions? Billions? It’s time to make an immediate impact. ⏰ Attend the Healthcare Payment & Revenue Integrity Series (HPRI) West seminar on September 11 in Las Vegas: “Provider-Centric FWA Prevention – See It Now To Stop It Now.” Kisaco Research HPRIWest #FWAPrevention #AI

How much is your legacy claims data-centric, rules-based, pre-payment editing workflow costing you each year? Millions? Billions? It’s time to make an immediate impact. ⏰ Attend the HPRI West seminar on September 11 in Las Vegas: “Provider-Centric FWA Prevention – See It Now To Stop It Now.” #HPRIWest #FWAPrevention #ArtificialIntelligence #AI #GenAi

💡"To stop the fraud we all know is there, you have to see provider behavior and relationships in real-time." - SIU Director, Top 10 Health Insurance Company. Read the full Market Research Report "Advanced AI in Healthcare Payment Integrity: A Provider-Centric Approach" authored by Kisaco Research here: https://hubs.li/Q02P0-vt0 At Healthcare Payment & Revenue Integrity Series (HPRI) West, visit Exhibit #2 to see how patented Integr8 AI Risk Detection™ technology is enabling payers to SEE EVERYTHING ALL THE TIME to increase FWA pre-payment prevention. #HPRIWest #FraudPrevention

🚨 75% of payers are struggling with pre-payment FWA detection using current stacks of claims editing technology. It's time for a change! Join us at Healthcare Payment & Revenue Integrity Series (HPRI) West (Sept 11-12, Exhibit #2) to discover how provider-centric AI will revolutionize your pre-payment FWA prevention. Let's tackle these challenges together and increase savings across the claims workflow. Read the full Kisaco Research Market Research Report here: https://hubs.li/Q02P0X-K0 #HPRIWest #HealthcareAI