Sierra Seabolt

AI, Healthcare, Insurance

Understanding Healthcare Claims & Fraud: An...

Healthcare claims are an inviting and alluring target for fraudsters due to their huge monetary value. In 2017 alone, HHS and DoJ recovered around 2.5 Billion Dollars in claims fraud. And that is just one year. The ch

Sierra Seabolt

Healthcare claims are an inviting and alluring target for fraudsters due to their huge monetary value. In 2017 alone, HHS and DoJ recovered around 2.5 Billion Dollars in claims fraud. And that is just one year.

The challenges facing healthcare payers are manifold as they try to tackle the rampant and growing problem of claims fraud. From high dollar impact, billing compliances to the high cost of manual investigations, the health care providers are sweating. So what exactly is Healthcare Fraud? And how can we try to mitigate them using technology?

Anomaly Detection, Financial Services, Healthcare, Insurance, IT, Machine Learning

Why Anomaly Detection is Important...

With data driving most business transactions, it is essential to analyze and interpret patterns in behavior correctly. NEMESIS, an anomaly detection tool powered by machine learning, can detect and predict against abnorm

Sierra Seabolt

With data driving most business transactions, it is essential to analyze and interpret patterns in behavior correctly. NEMESIS, an anomaly detection tool powered by machine learning, can detect and predict against abnormal behaviors in data that signal threats of risk and fraud.

Financial Services, Fraud Detection, Growth Opportunities, Machine Learning

The Case For Continuous Monitoring Of Financial ...

Continuous monitoring (CM) and continuous auditing (CA) systems provide real-time monitoring and reporting of business processes, activities, and transactions. This could largely benefit CEOs, COOs, and board members who

Sierra Seabolt

Continuous monitoring (CM) and continuous auditing (CA) systems provide real-time monitoring and reporting of business processes, activities, and transactions. This could largely benefit CEOs, COOs, and board members who are concerned with the risking risk, regulation, and costs in their organization.