As health care costs keep escalating, the potential for fraud, waste, and abuse does, too. The White House has reported total recoveries over the past three years (ending in 2011) to the tune of $10.7 billion. Also, the number of individuals charged with fraud rose from 821 in fiscal year 2008 to 1,430 in fiscal year 2011 – a nearly 75% increase.
HCL has developed a fraud, waste and abuse management framework, enabling customers to benefit from either the full power of an End-to-End framework or a point solution that caters to specific issues. HCL’s Fraud, Waste & Abuse (FWA) Management Solution offers services supported by analytical tools that helps the Payer/PBM handle the issue of increasing healthcare fraud, waste and abuse.
Leverage HCL’s intelligent rule based FWA solution to proactively identify potential fraud cases, wasteful and abusive billing practices and avoiding pay and chase scenarios. To learn more, please visit: http://microsite.hcltech.com/gainwithchange/FWA.asp