Course Benefits

Completion of this course will provide attendees with a basic understanding of main AI / machine learning methods that could be used for detecting healthcare fraud ranging from developing visualization dashboards for faster and more efficient fraud investigation to creating more advanced predictive models for automated detection of various types of fraud.

Target Audience

Departments

• SIU/MIAD - Audit and investigations departments
• Data Analytics and business intelligence
• Medical cost containment
• Fraud
• Compliance
• Medical claims
• Reimbursement
• Revenue Cycle Management
• Strategy
• Risk

Level

• Directors
• Managers
• Auditors
• Adjudicators
• Supervisors
• Senior Officers
• Analysts
• Attorneys

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