Empowering
Health Insurance
Al Driven: Expert Led
FAWE in the Australian Healthcare system: ABC television network programme
Download the full report behind the programme:
The Kirontech Platform empowers Health Insurers with focused solutions:
Payment Integrity
Ki> Payment Integrity
Fraudulent Claims
Reduction in payment of fraudulent claims
Waste
Detect & manage wasteful practices
Abuse
Enable prevention of Abuse and corruption
Partner with Ki to unlock an ROI of 5-15x
Intuitive, comprehensive, accurate Fraud, Waste, and Abuse detection, investigation and Health Outcomes Management
Optimise Payment Integrity and Health Outcomes with a focus on high-value cases and optimal ROI
Data Integrity & Readiness
Ki> Data
Ki>Data delivers Data Readiness
Ki>Data lays the foundations of AI-driven pre/post payment and health outcomes optimization
Ki>Data delivers key Foundational Elements
+ data granularity management
+ hybrid real-time/batch data management
+ data encoding
+ entity rules & relationships
Ki>Data enables application of AI
Enables a high- quality healthcare system by detection and prevention of Abuse and corruption
Our data science specialists dive into the details of your data and the way your business works to help you make the most of our platform. They provide guidance on:
- Managing Data Integrity
- Controlling Technical Workflows
- Administering Reports
- Adding Your Reference Data to the System
- Enhancing the Quality of Your Data
Health Outcomes and Quality
Ki> Health Outcomes
Insurers use Ki> Health Outcomes to drive differentiation in competitive markets
Better outcomes lead to fewer complications, less repeat visits, driving claims cost down
Healthier members are happier members. Members, see you care!
- Control Unsafe Practices
- Improve Patient Experience
- Detect Practice Irregularities: Find The Missing Pieces
Optimise Payment Integrity and Health Outcomes with a focus on high-value cases and optimal ROI
Optimising Payment Integrity & Health Outcomes for Insurers worldwide
Blood Money
FWA in Pathology
Blood tests are a prime source of fraud and abuse. They are cheap to perform, have high mark-ups and typically can be performed with no harm to the patient once the sample taken.
Spotting Fraud
Know Where to Look
Dr. Simon Peck exposes challenges in Health Insurance fraud detection. Automation, like Kirontech's HIP, is crucial for proactive prevention and efficient case management.
Stopping
Waste and Abuse
Dr. Simon Peck, Kirontech's Chief Medical Advisor, advocates a holistic approach to combat Health Insurance Fraud, blending negotiation, mediation, and technology for effective results.
AI-driven : Expert-led
The interaction between ML systems and Medical Expertise is at the heart of Kirontech’s success
Kirontech Differentiators
Leading
AI
The leading AI for Health Insurance Optimization
Medical
Experts
Leading Payment Integrity Medical Experts
Seamless
Integration
Integrates seamlessly into leading Health Insurers’ ecosystem
Leading
Platform
The leading Payment Integrity and Health Quality Outcomes Platform in UK/Europe
Start now with Ki>Accelerator
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