AHFI Designation Supports Truven Health Analytics’ Commitment to Payment Integrity
Truven Health Analytics Professional Receives Accredited Health Care Fraud Investigator Credentialing
J. Roderick, Inc.For Truven Health AnalyticsBrian Erni, 631-584-2200
Truven Health Analytics™, formerly the Healthcare business of Thomson Reuters, announced today that Kristine Knutson, senior analytic consultant, is the latest member of the Truven Health staff to have earned the National Health Care Anti-Fraud Association’s (NHCAA) unique professional credential: Accredited Health Care Fraud Investigator. Knutson joins the growing rank of Truven Health employees who have earned AHFI credentials.
Established in 2002, the AHFI program provides the first-ever formal accreditation of individuals who meet specific qualifications for professional experience, ongoing training, formal education, and demonstrated knowledge in the detection and investigation and/or prosecution of fraud against private or government-funded health insurance plans. Individuals accredited under the program also must meet stringent requirements of continuing professional education in order to maintain their AHFI status.
Founded in 1985 and headquartered in Washington, DC, the non-profit NHCAA is comprised of the anti-fraud units of private health payers and the formal law enforcement liaisons of federal and state agencies that have law enforcement or administrative jurisdiction over health care fraud.
With over two decades of fraud, waste and abuse detection experience, Truven Health Analytics has assisted more than 25 Medicaid agencies, the federal government, over 50 employers and dozens of health plans in identifying and recovering millions of dollars in healthcare fraud, waste, and abuse. According to Truven Health research, approximately $125 to $175 billion is wasted each year on healthcare fraud and abuse. Despite the common myth that fraud and abuse are confined primarily to the public sector programs of Medicare and Medicaid, Truven Health estimates that 5-10 percent of payments in the private health plan market are inappropriate.
“Truven Health is passionate about providing best-in-class fraud, waste, and abuse investigation, and Kristine’s designation is affirmation of our commitment to this goal,” said Jean MacQuarrie, vice president, Truven Health Analytics. “I look forward to working with Kristine to help reduce fraud and waste in our healthcare system.”
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Truven Health Analytics, formerly the Healthcare business of Thomson Reuters, delivers unbiased information, analytic tools, benchmarks, and services to the healthcare industry. Hospitals, government agencies, employers, health plans, clinicians, pharmaceutical, and medical device companies have relied on us for more than 30 years. We combine our deep clinical, financial, and healthcare management expertise with innovative technology platforms and information assets to make healthcare better by collaborating with our customers to uncover and realize opportunities for improving quality, efficiency, and outcomes. With more than 2,000 employees globally, we have major offices in Ann Arbor, Mich.; Chicago; and Denver. Advantage Suite, Micromedex, ActionOI, MarketScan, and 100 Top Hospitals are registered trademarks or trademarks of Truven Health Analytics.
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