Combating Healthcare Fraud with Data and Analytics

Improve provider network data integrity, eliminate FWA and maximize performance.

18 percent of the GDP in the U.S, which is $3.65 trillion, is spent on healthcare. Every year at least $300 billion is lost to fraud, waste, and abuse (FWA).

In a world where Medicare processes more than 4.5 million claims a day, payer organizations need to become efficient, enable robust fraud detection engines and identify waste.

Mandated processing efficiencies, overlooked claims, staff shortages, and disparate record systems create opportunities for fraud, waste, and abuse (FWA). With the current Manual or rule-based engines mounted on legacy systems, processes tend to be slow, workforce-dependent, less accurate, and error-prone.

Avail your free FWA network detection scan now.

Organizations consume an average of 240 human hours updating the rules of a legacy solution in a lifetime. Up to 40 percent of alerts investigated are false positives, at a minimum investigation cost of $7,500 each – Tim McBride, Director of Healthcare Product Development and Innovation at MasterCard.

Saxon’s intelligent healthcare solution is designed for hospitals and health systems, payers, and insurers. Our intelligent data services cater to emerging fraud patterns and compliance regulations.

We are helping organizations improve provider network integrity and performance while reducing human resources, FWA risk and enhancing provider network data quality.

With the power of artificial intelligence, automated anomaly detection, and continuous machine learning, organizations can automate data insights that enable real-time provider data management and network optimization while reducing costs.

Forget rip and replace legacy healthcare systems; we provide easy implementation and over-the-top solutions.

Schedule a free provider network data integrity scan

A comprehensive end to end solution

Provider intelligence and integrity

mprove provider network integrity and performance with real-time insights

  • Automated provider data management
  • Automated provider integrity
  • Automated provider credentialing

FWA prevention and recovery

Detect, prevent and recover healthcare fraud, waste, and abuse

  • Automated detection and prevention
  • Automated detection and recovery

Revenue intelligence and integrity

Align claims submissions, optimize payment integrity and revenue cycle performance

  • Automated denials prevention
  • Automated claims editing
  • Medicare reconciliation reports
  • Unfunded care recovery

Schedule a consultation and demo today

Benefits

Reduced time and cost

Increased data accuracy

Informed decision-making

Better data compliance and data security

Increased financial accuracy

Microsoft Solutions Partner - Infrastructure (Azure)
Microsoft Solutions Partner - Modern Work
Microsoft Solutions Partner - Data & AI (Azure)
Microsoft Solutions Partner - Business Applications
Microsoft Partner Azure Expert MSP

Copyright © 2008-2023 Saxon. All rights reserved | Privacy Policy

Address: 1320 Greenway Drive Suite # 660, Irving, TX 75038

Archana Aila

Archana Aila

Position Here

With 2 years of hands-on experience in Power Platform, I’ve excelled in developing and implementing solutions for businesses, harnessing the power of Power Apps, Power Automate, Power BI, and Power Virtual Agents to streamline processes and enhance productivity. My proficiency extends to crafting custom applications, automating workflows, generating data insights, and creating chatbots to aid operational efficiency and data-driven decision-making.

With an intermediate knowledge in Azure cognitive services, incorporating them into Power Platform use cases to innovate and solve complex challenges. My expertise in client engagement and requirements gathering, coupled with effective team coordination, ensures on-time, high-quality project deliveries. These efforts have yielded significant accomplishments, solidifying my role as a valuable asset in this field.

Palak Intodia

Palak Intodia

Position Here

I am a tech graduate with a strong passion for technology and innovation. With three years of experience in the IT industry, I’ve been on a continuous journey of professional growth and skill development. My expertise lies in Power Apps and Automate, where I’ve had the privilege of contributing to multiple successful projects.

I’m dedicated to delivering results that not only meet expectations but also drive the success of the projects I’m involved in. I’m committed to my ongoing professional development and the pursuit of excellence.

Roshan

Roshan Jaiswal

Position Here

With nearly 2 years of dedicated experience in Power Platform technology, my expertise lies in crafting customized business solutions using Power Apps and Power Automate. I excel in identifying intricate business requirements and translating them into innovative, user-friendly applications. My daily tasks involve meticulously deploying applications across diverse environments and harnessing the full potential of the Microsoft ecosystem within business applications.

I have proven my adaptability by consistently meeting the demands of creating responsive and scalable applications. Also seamlessly integrating complex workflows and data sources, ultimately enhancing operational efficiency and driving sustainable business growth.

Sugandha

Sugandha Chawla

Position Here

Sugandha is a seasoned technocrat and a full stack developer, manager, and lead. Having 8 years of industry experience, she has been able to build excellent working relationships with all her customers, successfully establishing repeat business, from almost all of them. She has worked with renowned giants like Infosys, Ernst & Young, Mindtree and Tech Mahindra.

She has very diverse and enriching work experience, having worked extensively on Microsoft Power Platform, .NET, Angular, Azure, Office 365, SQL. Her distinctiveness lies in the profound domain knowledge, managerial skills, and process mastery, that she additionally holds, as a result of possessing a customer facing role, working with different sectors, and managing and driving numerous critical executions, single-handedly, end to end.

Vibhuti Dandhich

Vibhuti Dadhich

Position Here

Vibhuti, a Power Platform technology evangelist, has passionately embraced the transformative potential of low-code development. With a background that includes experience at EY and Wipro, she’s been a trusted advisor for clients seeking innovative solutions. Her expertise in unraveling complex business challenges and crafting tailored solutions has propelled organizations to new heights.

Vibhuti’s commitment to staying at the forefront of technological advancements and her forward-thinking approach have solidified her as an industry thought leader. Her mission is to empower businesses to thrive in the digital age, revolutionizing operations through the Power Platform.

Ruturaj Kulkarni

Ruturaj Kulkarni

Position Here

With 8 years of dedicated expertise in the IT realm, I am a seasoned professional specializing in .NET technologies and Microsoft Azure Cloud. My journey encompasses a profound understanding of software development using the .NET framework and a robust command over Azure’s cloud ecosystem. Throughout my career, I’ve demonstrated a knack for crafting scalable and efficient solutions, leveraging the power of cloud computing.

My passion lies in staying at the forefront of technological advancements, ensuring that my skills align seamlessly with the dynamic landscape of IT. Ready to tackle challenges and drive innovation, I bring a wealth of experience to any project or team.