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NANO Fraud, Waste & Abuse Management Solution

Healthcare FWA Solution

AI-powered Fraud

AI-powered Fraud, Waste, and Abuse (FWA) Management Solution

NANO Health low-code automation platform delivers a unified view of an FWA claim in advancement, authorizing coordination between internal departments and law enforcement. This permits organizations to accelerate financial recovery actions with a streamlined procedure that delivers thorough reporting into every aspect of cases.

NANO-FWA solution entrusts payers to:

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    Lessen claim errors
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    Lower expenses and manual intervention
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    Meet cost containment objectives
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    Powerful payment integrity resolutions
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    Catch potential fraud, waste, and abuse preceding claim payment
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    Boost auto-adjudication rates, claims payment precision, and regulatory compliance
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    Uphold the highest class of claim compliance
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    Curtail and simplify investigations

The technological challenge of filtering through the consequent cliffs of data for indications of suspicious behavior is challenging. It has also overpowered health plans and law enforcement agencies' capacity. The healthcare reform landscape lends itself to potential growth in fraud, waste, and abuse opportunities in expansion. Therefore, it is imperative to present a paradigm change that incorporates proactive investigations for fresh claims and retrospective trends.

Proficient investigators designed our integrated solution to set an even more proactive anti-fraud solution.

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Boost case management
efficiency by ~58 per cent

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Execute regulatory
compliance

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Attain return on investment
(ROI) of up to 25:1

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Speedier FWA quest with Nano Health Nano Health furnishes healthcare payers with a robust fraud case-control and investigation solution.

Nano Health low-code automation platform delivers a unified view of an FWA claim in headway, authorizing coordination between internal departments and law enforcement. This permits organizations to accelerate monetary recovery actions with a streamlined procedure that delivers detailed reporting into every aspect of cases. With Nano Health, manual processes in FWA case investigation are superseded with modern automation.

Find out how Nano Health enables stakeholders to thwart emerging fraud, waste and abuse trends with unique knowledge technology and strategies.

Healthcare firms are forfeiting 12 per cent of their annual earnings to fraud, waste and abuse (FWA), yet rare utilize artificial intelligence (AI) to address these matters due to cost considerations.

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Learn how AI could help firms unclose savings by restraining costly fraudulent claims and untrue positives.