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نائب رئيس هيلث فلو: التكنولوجيا تمكننا من مواجهة أكثر من 90% من عمليات التحايل والهدر

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ما يعرفه ريفو عن الخبر

  • تمكن التكنولوجيا والمنصات الرقمية الموحدة من مواجهة أكثر من 90% من عمليات التحايل والهدر المالي في قطاع الرعاية الصحية.
  • تشمل أشكال التحايل استخدام بطاقات التأمين للغير، والتلاعب بالترميز الطبي، وتفتيت بنود العمليات الجراحية لرفع التكلفة.
  • يساهم إدخال الروشتة الإلكترونية والهوية الموحدة في رصد الأنماط المشبوهة والتحقق من مطابقة الأدوية لدوائر التغطية.
  • يساعد التحول الرقمي في كشف التراكمات الناتجة عن العمليات الصغيرة المتكررة التي يصعب على الفرق البشرية رصدها يدويًا.

كشف الدكتور احمد صفوت خبير التحول الرقمي في الرعاية الصحية ، عن حجم التحديات والثغرات التي تواجه شركات الرعاية الصحية ومقدمي الخدمات، مؤكدا أن التكنولوجيا الحديثة والمنصات الرقمية الموحدة أصبحت السلاح الأقوى لمواجهة عمليات التحايل والهدر المالي التي تكبد القطاع خسائر فادحة.

المصدر: الفجر

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