COURSE DESCRIPTION

This 4-day course unveils the power of AI, Generative AI, and Machine Learning in combating healthcare fraud, waste, and abuse. It focuses on prevention, early detection, and reporting, enabling participants to take a proactive approach in developing and implementing strategic plans. These efforts support the achievement of value-based healthcare while addressing requirements for evidence of compliance. We'll demonstrate how these technologies offer unparalleled insights, significantly enhancing your fraud, waste and abuse prevention and detection capabilities within the UAE and GCC.

Who Should Attend?

Professionals from payers, TPAs, RCMs, healthcare providers,and regulatory bodies involved in:

• Population Health and Health Governance
• Medical Rules and Policy Oversight
• Pre-Authorization & Claims Operations
• Data Science, Analytics & AI
• Cost Containment and Medical Audit
• Special Investigation Units (SIU)
• Fraud, Waste & Abuse (FWA)
• Compliance, Risk Management, and Regulation

Job Titles

Directors, Managers, and Supervisors from:

• Investigators and Auditors (Internal & External)
• Claims Adjudicators and Compliance Officers
• Certified Fraud Examiners (CFE), CISAs, CPCs
• Data Analysts and Healthcare Data Scientists
• Attorneys, Consultants, and Strategy Leaders
• Regulatory Officers overseeing healthcare compliance, fraud prevention, and policy enforcement

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