Stop improper payments in their tracks. Before claims are paid! Cost Containment, Longitudinal Predict High Health Risk versus Low Health Risk to better manage decision-making.
Longitudinal Early detection of improper payments. Longitudinal Predictive, accurate claims decisions. Hundreds of millions in savings. Dr. Mo can help you get ROI from your payment integrity efforts with solutions that address:
Longitudinal Prediction of Fraud and improper payments (waste and abuse). Detect improper payments before the money goes out the door, and get potential savings of hundreds of millions of dollars. Take an enterprise approach to detecting and preventing fraud, waste and abuse with our multi-model analytics solution.
Provides Longitudinal Predictions of Eligibility fraud. Determine eligibility in Medicaid, MCOs and state employee and traditional health plans to avoid unwarranted costs – using unique Longitudinal Predictions provided automatically by Dr. Mo.
