OVERVIEW

FraudScope, a highly proactive, adaptive and self-learning software platform, was developed by an academic team of healthcare leaders using state-of-the-art university research to accurately and intelligently detect, score and rank suspect medical billing practices.

Designed to augment existing methodologies, FraudScope uses sophisticated algorithm tuning to automatically detect fraud schemes in raw claims data, enabling fraud

analysts to focus on the most suspicious and egregious fraud cases – cases that are constantly evolving to evade detection techniques.

The enterprise’s automated and innovative algorithm tuning continually adapts to detect new fraud schemes as they emerge and ensures malintent and waste are detected early. Thus helping to save the industry precious time and money – and better ensure healthcare dollars go toward needed patient care.

TEAM

Musheer Ahmed, PhD
Dr. Musheer Ahmed is the CEO, CTO and Founder of FraudScope. He completed his PhD in Computer Science from Georgia Institute of Technology where he specialized in the area of Healthcare Security. A report by the JASON advisory group, the prestigious scientific advisory panel to the US government, validated that his doctoral research tackled some of the biggest challenges within the emerging health data infrastructure in the United States. He was invited to Washington DC to give a talk at a meeting hosted by the federal government to discuss improvements to the security and accountability within the federal standards of health information exchange. His research on reducing losses in the US healthcare system due to fraud, waste and abuse forms the core of the proprietary ‘Claims Intelligence’ technology which is used by FraudScope.
Mustaque Ahamad, PhD
Dr. Mustaque Ahamad is the Chief Scientist and Co-Founder at FraudScope. He is also the Co-Founder and Chief Scientist at Pindrop Security as well as a Professor of Computer Science at the Georgia Institute of Technology. Pindrop Security is a leader in phone fraud prevention with a total financing of $122 million from top-tier investors such as Andreessen Horowitz, Citi Ventures, Felicis Ventures, Redpoint Ventures, and Webb Investment Network. Dr. Ahamad was the director of the Georgia Tech Information Security Center (GTISC) from 2004 until 2012. He is currently the associate director of educational programs for the Institute for Information Security & Privacy at Georgia Tech. He has participated in events including the 2013 World Economic Forum in Davos, the FTC Robocall Summit and the Messaging Anti-Abuse Working Group. He earned a PhD in Computer Science from State University of New York at Stony Brook in 1985.