Sound  technical and analytic detection approaches to identify fraud schemes is crucial to any investigator’s work. Keeping up with new fraud schemes is equally important to preventing fraud, waste and abuse.

Join us on Wednesday, December 5^th, from 2-3 PM EST, as we share best-in-class algorithms that have yielded great results for clients over the years. We’ll review past and emerging trends in aberrant billing patterns, and we’ll share useful ideas for algorithms across a variety of fraud scheme areas, including:

• Monitoring Industry Standard Claims Coding
• Dental Fraud Schemes
• NICU Level-of-Care Upcoding
• Best practices for program integrity in a managed care environment

Faculty

David Nelson
Vice President
IBM Watson Health