Acorn Research has launched a first of its kind AI based platform for detecting Fraud, Waste and Abuse (FWA) in the Healthcare Industry - INTELHealth FWA. The platform was developed by local and international experts from Acorn Research and Strasys with sound knowledge of the unique requirements of the Middle East. Local data sets and the experience of 2000+ audits over 10 years were used to model the platform with many rejection scenarios as well as common forms of abuse senarios. The key was to build innovative algorithms and data models around known “local” issues, using as many data sources as possible, and train them with known patterns and issues. INTELHealth FWA is consistent with the DOH AND DHA Regulations and Guidelines.
The uniqueness of this platform is the fact that this solution was developed for the Middle East. Payors and Providers will be benefit immensely as well as Ministries of Finance.