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FOR IMMEDIATE RELEASE
FraudScope Announces Upgrades to its Proprietary Case Management and Reporting Technology
FraudScope Adds New Capabilities to Case Management Offering to Address Expanding Customer Needs
ATLANTA (April 7, 2020) – FraudScope, an AI-based platform that helps health plan special investigations units, payment integrity, and medical review teams investigate fraud, waste, and abuse (FWA), today announced it has made significant upgrades to its case management and reporting capabilities. The upgrades, which were driven by FraudScope health plan SIU customer needs, better enable teams to more efficiently and effectively collaborate across the organization and to open, investigate and resolve fraud cases.
“The fraud industry is constantly changing, and FraudScope is committed to evolving our offerings to provide our customers with unparalleled industry tools for identifying suspicious claims, gathering actionable data, and resolving cases quickly,” stated Musheer Ahmed, CEO of FraudScope. “Our customers have seen dramatic results with the FraudScope AI platform and we are determined to keep improving and expanding our capabilities to drive even better outcomes and enhance their experience.”
FraudScope’s upgraded case management features include:
FraudScope recently announced that it added more than 75 customer-driven enhancements to its platform in 2019, including new capabilities for facility and pharmacy FWA detection and investigation and a ‘collusion’ capability that helps plans identify cases where patients, providers, facilities and/or pharmacies are colluding to commit FWA.
FraudScope’s AI platform with the case management enhancements and upgrades is available now. More information about FraudScope and its solutions can be found at https://www.fraudscope.com/solutions/.
FraudScope is an AI-based platform that accelerates the identification of fraud, waste, and abuse. Our comprehensive claims investigation platform utilizes proven and patented AI-based technology to empower investigators and analysts to derive insights and conduct full investigations of suspect claims. For additional information about FraudScope and our solutions, visit https://www.fraudscope.com.