Healthcare Improper Payment Detection

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Shift Improper Payment Detection is a SaaS solution that uses enhanced data and artificial intelligence to identify improper payments for health plans. It provides insights to investigators to maximize savings and recoveries by analyzing behaviors and actions across multiple lines of business. The solution can uncover a higher level of improper payments, increase accuracy of alerts and the efficiency of investigations.

Website

http://www.shift-technology.com

Developer

Shift Technology

Twitter

@shiftechnology

Strengths

Accurate

Highly accurate in detecting improper payments
Efficient

Saves time and resources by automating the detection process
Compliant

Helps healthcare organizations comply with regulations and avoid penalties

Weaknesses

Costly

May be expensive for smaller healthcare organizations
Limited Data Sources

May not be able to access all necessary data sources for accurate detection
Requires Expertise

May require specialized expertise to set up and use effectively

Opportunities

Increasing demand for healthcare fraud detection solutions
Opportunities to partner with healthcare organizations and government agencies
New regulations may create additional demand for the product

Threats

Competitors may offer similar or better solutions
Changes in regulations may make the product less effective or necessary
Growing concerns about data privacy may limit access to necessary data sources

Ask anything of Healthcare Improper Payment Detection with Workflos AI Assistant

http://www.shift-technology.com

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