Tens of billions of healthcare dollars are lost to fraud, waste, and abuse each year. For compliance officers and internal auditors in the healthcare space, examining a sea of data to spot red flags historically has been a labor-intensive process, prone to human error, not to mention a very reactive process—parsing through fraudulent medical claims after they’ve been paid. Among forward-thinking healthcare organizations, however, artificial intelligence (AI) is changing all that—and with some very lucrative results.
