The NovoHealth Dental Platform

Reducing F/W/A Costs

Image Similarity Detection

NovoHealth Dental compares each incoming radiograph to all available images to ascertain whether it may have been previously submitted. NovoHealth Dental:

• Recognizes All Similar Images whether they’re identical or may have been manipulated (e.g., cropped, rotated, flipped, skewed, or with adjustments to contrast, color, blurring, etc.)
• Can Perform Cross-Payer Analyses to uncover radiograph re-use among submissions to multiple insurance plans.
• Minimizes False Positives by considering all available evidence including metadata, claim data, and information from additional sources to help distinguish likely fraud from legitimate re-use or clerical errors.

Outlier Identification

NovoHealth Dental can help improve focused review processes for payers, as well as reduce risk for DSOs and group practices, by detecting if a provider’s behavior significantly deviates from their peer group or if a provider’s procedure patterns appear suspicious. NovoHealth Dental automatically:

• Creates More Relevant Provider Peer Groups than traditional systems by integrating external data with a variety of practice and specialty features including more geographic, economic, and population metrics.
• Performs Hundreds of Tests on each claim to determine if any procedures are anomalous. If one of the tests fails, the claim is flagged for review.