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Advanced Fraud, Waste, and Abuse Detection

Development of a "Detect and Prevent" anti-FWA process to replace "Pay and Chase"

Healthcare data is more than numbers and text. Data is a representation of real events and we use this knowledge to dig below the surface of the data to reveal additional usable information. Through a process that we term "ortho-information" we combine informatics, clinical knowledge, and forensics to analyze both the surface and subsurface information gleaned from data to target fraud, waste, and abuse.

Type of project: industry

   

Involved Persons:

Project Leader: Franklin Din (FraudLens, Inc.)
Other involved People:

Funding:

Is the project funded?yes
Funding source:Venture Capital

Other information:

Duration of project:Ongoing
Papers related to project:https://www.youtube.com/watch?v=r8DwgoXxh5A https://www.youtube.com/watch?v=XRgXUMF-Abs
Personnel needed:Looking to hire trained dental informaticists with clinical care experience to work as consultants that may turn into permanent positions.
Expertise sought:Fraud, waste, and abuse detection algorithm development

DIOC user:

franklin din (19 star_red), FraudLens, Inc
franklin din's interests: digital imaging/image processing, clinical decision support, educational technology, bioinformatics, computer-based patient records, patients and computers/consumer health informatics, diagnostic and therapeutic technologies, interoperability, RHIO

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