Partner Spotlight: Thomson Reuters
Thomson Reuters Risk & Fraud assists with compliance and program integrity regarding fraud, waste, and abuse oversight and reporting. Our data analytics will help you reveal unlicensed or sanctioned providers, outlier billing, utilization spikes, and more. Your team will be able to leverage our innovative analytics platform and deep proprietary and public records data enabling you to efficiently discover potential fraud, waste, and abuse opportunities within your program.
- Fraud Detect – Our Fraud Detect, data analytics system ingests your program data, matches it against third party data sources, and then runs it through a series of procedural and predictive models to detect previously known and unknown anomalies and patterns.
- CLEAR – Not only do we identify risks within your claims data, but we also enable you to get immediate risk insights on individuals and businesses in just one search. Thomson Reuters CLEAR is integrated into the Fraud Detect platform to give a risk score for your entire network.
- Case Tracking – Case Tracking is a fully-integrated, investigative, case tracking and management system. Case Tracking imports information from Fraud Detect, or other sources, and uses workflow and rules engines to assign and route cases through your resolution process.
We are currently offering a free 28-day trial of CLEAR Risk Inform, please let me know if you have any questions or interests.
Thomson Reuters Solutions for Healthcare Fraud – Video
Leveraging 3rd Party Data to Identify Hidden Risks – Webinar
Contact: Jason Carter
Work cell: (612) 271-8940
jason.carter@thomsonreuters.com