Specialist fraud-detection software for the Medical Insurance Industry. We combine machine learning with medical and specialist investigation expertise.
Blood tests are prime source of fraud and abuse: cheap to perform, high mark-ups and little harm to the patient once sample is taken.
Unscrupulous clinicians can use these tests to effectively print money.
Hope you enjoy this one!
linkedin.com/pulse/blood-mon…
The latest Kirontech Bulletin is out - the topic is handling claims after FWA has been identified. Pre-identification, it's all technical and analysis. Post-identification, it's human factors and soft skills.
Hope you find this interesting!
linkedin.com/pulse/human-ele…
The first Kirontech Bulletin of 2022 is out - the topic is Crime -v- Misconduct in insurance claims. How are they different and does it matter from the insurance payer's perspective: linkedin.com/posts/kirontech…