EDI Watch (AHIP) – Fraud detection system for health care

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EDI Watch (AHIP) – Fraud detection system for health care

While at the America’s Health Insurance Plans (AHIP) conference in San Diego, we interviewed Carl Scarabelli from EDI Watch. The company’s solution promises to reduce a huge problem for health insurance companies, estimated according to EDI Watch at 10% of the total cost of health care in the U.S. The company’s solution is easy to get up and running, with a quick ROI for health plans, according to Scarabelli.

Click play below to watch the interview.

By | 2017-05-04T04:07:11+00:00 June 4th, 2009|health care reform, health insurance fraud|0 Comments

About the Author:

Michael is Managing Partner & CEO of No World Borders, a leading health care management and IT consulting firm. He leads a team that provides Cybersecurity best practices for healthcare clients, ICD-10 Consulting, Meaningful Use of Electronic Health Records. He advises legal teams as an expert witness in HIPAA Privacy and Security, medical coding and billing and usual and customary cost of care, the Affordable Care Act and benefits enrollment, white collar crime, False Claims Act, Anti-Kickback, Stark Law, Insurance Fraud, payor-provider disputes, and consults to venture capital and private equity firms on mHealth, Cloud Computing in Healthcare, and Software as a Service. He advises self-insured employers on cost of care and regulations. Arrigo was recently retained by the U.S. Department of Justice (DOJ) regarding a significant false claims act investigation. He has provided opinions on over $1 billion in health care claims and due diligence on over $4 billion in healthcare mergers and acquisitions. Education: UC Irvine - Economics and Computer Science, University of Southern California - Business, Stanford Medical School - Biomedical Informatics, Harvard Law School - Bioethics.
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