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Identifying and Recovering Health Plan Fraud & Abuse
Over 40% of medical bills contain errors resulting in plans and members overpaying. Join us to learn how every healthcare transaction can be audited for fraud and abuse, returning 1-3% to plans and up to 20% to members out of pockets costs.
This webinar has been submitted for credit from HRCI and SHRM.
About the Speaker
Greg Carlton
Greg Carlton, CLU, ChFC, RHU, ChHC, has served clients for over 35 years using a variety of technologies and by developing integrations and interactions between underwriting processes, wellness and wellbeing teams, subject-matter-experts, advisors, clinicians, and medical directors, to improve health care finance and health risk management outcomes. Since 2012, Greg has been helping lead the BAN analytics peer-group informally and through his role as Managing Member of Acclaim Health Analytics, LLC, has devoted over 8 years to help our members obtain the right technology and to aggregate over 200,000 lives in analytics platforms to help drive down costs while improving peer-to-peer innovations. Most recently, Greg has been instrumental in helping negotiate contracts for BAN and served on the Alera analytics workgroup that developed the latest Springbuk opportunity. Now more than 300,000 member lives are aggregated in the various platforms utilized through BAN firms and the analytics peer-group is one of the highest performing and most sought-after groups within BAN.Register Today
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