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IN A STUDY PUBLISHED IN THE JOURNAL OF AMERICAN MEDICAL ASSOCIATION (JAMA):
of physicians reported deceiving third party payers to obtain benefits
of physicians reported exaggeration of patient’s condition, changing a diagnosis or reporting signs or symptoms that did not exist
Put an end to complex fraud schemes and sophisticated duplicate schemes before claims are paid with our intelligent claim surveillance software. With dynamic profiling and predictive technologies ClaimWatch℠ uses all available historical data to quickly uncover new and emerging schemes before claims are paid.
GPA ClaimWatchSM protects the integrity of your health plan by proactively detecting and preventing the most common fraud types including substitution and identity theft, over-consumptions and false prescription, over-billing and false reporting.