CERIS announces advancements to FWA solutions

CERIS has announced advancements to its current Fraud, Waste, and Abuse solutions, including earlier detection capabilities and improved behavioral analytics. These new integrations and services will expand on CERIS’ current FWA offering for customers as they navigate a complex healthcare industry and work to better manage and mitigate prevalent fraud and risk issues in today’s landscape. Through identity and behavioral analytics, scanners, dashboards, reporting, and FWA consulting, CERIS’ enhanced solutions are automating detection and errors in billing to aid payers in prevention and remediation. The National Health Care Anti-Fraud Association estimates that financial losses for healthcare organizations are in the tens of billions of dollars each year. CERIS works closely with providers to overcome challenges and false payment methods through its FWA products. Today’s enhancements will support the following: Fraud Case Analytics – SIU and Suspicious Activity Lead Services: Case data analytics will utilize client and industry data for rapid analysis and reporting through machine learning capabilities; Fraud Scanners: A suite of data scanners will detect suspicious activity on pre- and post-pay claims offering clients lead detection for Fraud, Waste & Abuse; Fraud Dashboard & Reporting: CERIS will offer flexible reporting options on client analysis and results through industry standard tools; FWA Consulting: CERIS will bring its expertise in prevention, remediation, and operational efficiencies of payment processing in support of Fraud, Waste & Abuse management