Nashvile's Emdeon is bolstering its health insurance fraud prevention tools by incorporating FICO Health Insurance Fraud Manager into its revenue and payment cycle transaction processing network [2], which serves 1,200 payers.
“By putting FICO’s advanced, predictive fraud analytics into the hands of payers who pay the nation’s health care claims, we are helping our customers address one of the largest, most debilitating sources of friction in the health care system and ultimately creating change that will lead to efficiency,” said George Lazenby, CEO of Emdeon in a statement.
Emdeon (Ticker: EM [3]) entered the fraud and abuse market in 2009 with its acquisition of The Sentinel Group [4]. It estimates health care fraud, waste and abuse costs between $200 million and $600 million annually.