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As payment integrity continues to get more proactive - shifting focus and resources towards pre-payment - the outcomes from a strong post-payment strategy become the premium fuel for prepay.

Learn from Shift Technology’s Product Lead Mark Starinsky, CFE, AHFI, CPC and Solution Consultant Mandy Fogle as they cover specific examples of post-pay learnings and scenarios that can drive greater value to your plan’s prepayment approach. 

In this webinar, attendees will leave with:

  • Strategic insight into what post-pay learnings and scenarios can be brought into a prepayment approach
  • Practical use cases and examples of current scenarios & areas of focus 
  • How AI and advanced technology can create a continuous feedback loop between pre & post pay, increasing speed and accuracy of prepayment decisions
  • Additional AI tools enhancing prepayment today

 

Speakers

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Mandy Fogle

HEALTHCARE PRE-SALES CONSULTANT

Mandy is a subject matter expert focusing on improper payments within the Healthcare Industry. She brings 25+ years of tech experience where she led development teams and their delivery of risk management solutions to address client pain points. Her subject matter expertise in these industries provides insight to clients in the area of risk/compliance, fraud, waste and abuse. As a solution lead, Mandy assists clients in the following areas; understanding areas of risk and exposures across organizational hierarchy, gaps in policies and processes, the value to leverage advanced analytical offerings to address fraud, abuse, and waste within an organization.

 

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Mark Starinsky, CFE, CPC, AHFI

SENIOR PRODUCT MANAGER - US HEALTH

Mark Starinsky is a product lead for Shift Technology’s Healthcare Improper Payment Detection solution, where he is responsible for building and managing Shift’s leading AI solution for fraud detection in healthcare. Before Shift, Mark managed Product and Service Delivery for payment integrity solutions at Cotiviti and General Dynamics. Prior to his technology roles, Mark was a criminal investigator and senior auditor for the U.S. Department of Health and Human Services, Office of Inspector General (OIG).  During more than 10 years with the OIG, Mark successfully identified more than $1 billion of fraud, waste and abuse. Mark has received several awards for meritorious service, is an active Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), is Certified in Healthcare Compliance (CHC), and has been published in the Association of Certified Fraud Examiner’s Insurance Fraud Casebook – Paying a Premium for Crime.