Healthcare Waste, Fraud, and Abuse Prevention

Legacy systems can’t effectively safeguards against healthcare waste, fraud, and abuse.

• Healthcare organizations face mounting losses from inefficient operations, fraudulent claims, and disconnected systems. Traditional prevention methods lack the speed and intelligence to identify emerging threats, leading to wasted resources and compliance risk. With up to 25% of total healthcare spending lost to waste, fraud, and abuse, the cost of inaction continues to climb.

Build an adaptive AI-powered defense that strengthens prevention and restores efficiency.

• Our AI-powered solution unifies fragmented fraud prevention systems integrating Amazon Bedrock, AWS HealthLake, and Comprehend Medical to detect anomalies and emerging risks. Customers see measurable ROI and up to 70% task automation.

Where We Can Help

• Resource Utilization Analysis Uncover inefficiencies in resource use, eliminate unnecessary procedures, and optimize departmental operational spending.
• Claims & Billing Validation Detect billing anomalies, validate treatment accuracy, and flag potential upcoding or prescription abuse patterns.
• Process Waste Reduction Reduce redundant workflows and excessive admin costs with AI-driven automation and process optimization.
• Inventory Management Automate inventory tracking with Vision AI to detect waste, improve accuracy, and streamline procurement.