The Problem: $29 Billion in Rx Fraud
Pharmacy fraud impacts both your payment accuracy and your population’s health. To erase your exposure to pharmacy fraud, we created Fraud Finder Pro Rx which leverages our extensive database, analytical expertise and claims editing experience. Fraud Finder Pro Rx's predictive algorithms and clinical validation has the power to lift your population's health and your bottom line.
The Solution: Fraud Finder Pro Rx
Features
- Predictive algorithms for abnormality assessment and suspicion scoring
- Employs validation by pharmacists and medical clinicians
- Grouping technology interprets data into episodes of care
- Reports quantify both ROI and implication of policy implementations
Benefits
- Clinical validation minimizes false positives and improves efficiency
- Generates actionable referrals of pharmacies, providers and patients
- Risk scoring and predictive modeling targets high-confidence cases
- Identification of Pharmacy behavior provides insight into excessive expenses
- Greater visibility into fraud and abuse offers intervention opportunities
Next Steps
Fraud Finder Pro Rx
Get the brochure.
View Brochure >>
Contact A
Solution ExpertSpeak with sales.
Contact Verisk Health >>
Request A
DemonstrationExperience the solution.
Request Demo >>
