Hero_Zoom_PIP_Q32024_400x450

Join the Evolution: How to advance beyond traditional lead detection

Register for our webinar on Thursday, January 16 at 1 pm ET

Register for the Webinar

This webinar has been rescheduled from December 12 to Thursday, January 16 at 1pm ET.

Overwhelmed staff, disparate data sets, and overlooked claims all make it more difficult to manage healthcare fraud, waste, and abuse (FWA), and perpetrators of FWA continue to evolve their schemes to exploit these difficulties. Shouldn’t your FWA program evolve too?

Cotiviti is turning the notion of traditional fraud detection software on its head by introducing AI-driven 360 Pattern Review: an unmatched combination of our proven prepay Claim Pattern Review and the brand-new postpay FWA Pattern Review.

Attend our webinar to learn how 360 Pattern Review empowers your SIU to:

  • Deliver rapid ROI through automated detection
  • Identify potential FWA earlier
  • Eliminate wasted time spent on false-positive leads
  • Boost staff productivity

This webinar also includes a short demo of FWA Pattern Review, so don’t miss this opportunity to join the evolution and take your FWA programs to the next level.

Presenters:

RyanCleverly_100x140-1

 

Ryan Cleverly, AHFI | Director of Product Management, FWA
Cotiviti

Ryan is responsible for the strategic direction of Cotiviti’s FWA product offerings, including both postpay and prepay FWA detection. Previously, Ryan worked as a criminal investigator investigating allegations of all types of insurance fraud including healthcare and pharmaceutical fraud. Ryan also worked on a Federal Healthcare Task Force focused on provider fraud and conducted multiple complex healthcare investigations.

 

VincentSmith_100x140

 

Vince Smith, AHFI, CFE | Manager, FWA
Cotiviti

Vince is responsible for analyzing and interpreting claims data to identify potential FWA, conducting extensive fraud investigations on behalf of private insurers, and assisting with the recovery efforts for schemes identified with the investigations. Prior to joining Cotiviti, he was a contracted senior compliance auditor for CMS and worked with the Division of Compliance Enforcement (DCE) to identify fraud and non-compliance occurring within federally funded health plans.

 

 

  • Privacy Policy
  • Terms & Conditions
  • © 2024 COTIVITI, INC. ALL RIGHTS RESERVED. ALL CONFIDENTIAL, PROPRIETARY INFORMATION, NAMES, AND LOGOS CONTAINED HEREIN SHALL AT ALL TIMES BE AND REMAIN THE SOLE AND EXCLUSIVE PROPERTY OF COTIVITI, INC., AND ITS SUBSIDIARIES AND AFFILIATES.