Home health payers paying fraudulent claims before detection, draining budgets through reactive post-pay audits

Insurance payers and health plans are hemorrhaging money on improper home health claims that slip through compliance checks until after payment is made. Current post-pay audit systems are too slow and reactive to catch AI-enabled fraud schemes, forcing payers to recover funds after the fact or write off losses entirely. Payers need real-time, predictive fraud prevention that blocks fraudulent claims before payment leaves their accounts.