Sponsored Webinar

Lexis NexisPeople, Bits, Bytes and Process: Creating a Holistic Overpayment Protection Program for Optimal Results
Sponsored by: LexisNexis
December 11, 2014
2:00 p.m. - 3:00 p.m. ET
CPE: 1


Health care organizations are often challenged to identify the necessary steps to take in an effort to move their fraud, waste, and abuse (FWA) efforts to the next level. While all organizations are different, most healthcare payers are being asked to do more with less due to issues such as the Medical Loss Ratio minimums, increased competition that drives premiums down, and budget restrictions within the SIU. All while the rate of FWA continues to rise requiring more advanced resources.

As schemes and various provider technologies become more complex, health care organizations need to create wide-reaching FWA prevention programs that address the overall problem more holistically. This means incorporating multiple detection types, multiple data types and having a diverse skill set to analyze the results.

This webinar will introduce the characteristics of a holistic overpayment protection program, how it can be deployed, and some potential pit falls along the way. We will cover the technology, processes, staffing and other aspects that comprise a fully integrated approach to identifying and deterring FWA.

Attendees will learn not only the components, but potential places in the workflow where to implement the program components, as well as how to build a business case to support the investment.


Mark Isbitts
Director Market Planning, Payment Protection, LexisNexis Risk Solutions