View Larger Image $80 Million SavingsAM2017-10-23T23:44:38+00:00 Project Description Client: US-based diversified managed healthcare company Industry: Healthcare Business needs to be addressed: Improve fraud detection capabilities to reduce revenue leakage and ensure payment integrity AMSTAT Consulting solution: AMSTAT Consulting implemented a sophisticated and adaptable fraud detection model along with process improvements for dynamic responsiveness. Business impact: $80 million in total savings within the first few years of the implementation through improved fraud detection Enhanced regulatory compliance and agility in claims processing Project Details Categories: Healthcare Analytics Related Projects Healthcare Fraud Detection Gallery Healthcare Fraud Detection Medical Fraud Detection Gallery Medical Fraud Detection Will The Company Pay a Trade Account? Gallery Will The Company Pay a Trade Account? Predictive Analytics for Audits Can Help Identify Missing Revenue Gallery Predictive Analytics for Audits Can Help Identify Missing Revenue Predict Where Denials Are Likely to Occur Next Gallery Predict Where Denials Are Likely to Occur Next Will Patients Pay On Time? Gallery Will Patients Pay On Time? Is A Charge Missing? Gallery Is A Charge Missing? Will Patients Be Readmitted? Gallery Will Patients Be Readmitted?