Monday, October 20, 2014

Analyze Disparate Data to Identify Fraud Waste and Abuse

The healthcare industry is going through a seismic move designed to reduce healthcare fraud, waste and abuse and improve the quality of patient care and reduce financial looses. However, the prime aim is to decrease management pressure and reduce waste within the system, the near-term effects actually increase the cost of running a medical center and reduced overall provider earnings. But a million dollar question comes how providers are impacted from Fraud Waste and Abuse:
  • Increased technology execution expenses as providers try to adhere to required transformation dates
  • Increased functional expenses due to improved returns, are attractive, and claim adjustments
  • Longer Consideration Receivable periods
  • Increased income threats such as reduced reimbursements
  • Increased patient bad debt
So, if you are looking for the Healthcare fraud waste and abuse solution; Jvion offers big data solutions to address regulating conformity and get ready providers for new payment models. Also, the company uses big sets of disparate data from several resources to appear sensible of current threats and future opportunities as a result from the ICD-10 program code transformation.