Company Filing History:
Years Active: 2007-2014
Title: The Innovative Mind of Michael K. Tyler
Introduction
Michael K. Tyler, an accomplished inventor based in San Diego, CA, has made significant contributions to the field of healthcare technology. With a total of seven patents to his name, Tyler is at the forefront of innovation in detecting fraud and abuse within healthcare payment systems. His work focuses on developing robust methodologies that enhance the integrity of coding practices in the healthcare industry.
Latest Patents
Among his latest groundbreaking patents is "Detection of Upcoding and Code Gaming Fraud and Abuse in Prospective Payment Healthcare Systems." This innovative method employs an unsupervised model that efficiently evaluates payment coding practices across various hierarchical levels. By creating profiles and descriptions of payment activities submitted by entities, the model can identify unusual conduct when compared to peer entities.
Another significant patent is "Consistency Modeling of Healthcare Claims to Detect Fraud and Abuse." This patent introduces a transaction-based behavioral profiling system that assesses inconsistencies within an entity's coding activities. By leveraging service-code information and analyzing the interaction between transactions, this approach offers valuable insights not only for fraud detection in healthcare but also for application in other industries.
Career Highlights
Michael K. Tyler currently works with Fair Isaac Corporation, a leader in analytics and decision-making technology. His innovative work in healthcare fraud detection has not only proven beneficial for the company but has also positioned him as a key player in the advancement of healthcare payment integrity.
Collaborations
Throughout his career, Tyler has collaborated with esteemed colleagues, including Anu Kumar Pathria and Jean De Traversay. These partnerships have facilitated the exchange of innovative ideas and have contributed to the refinement of techniques that enhance fraud detection and analysis in healthcare.
Conclusion
Michael K. Tyler embodies the spirit of innovation through his dedication to improving healthcare payment systems. With a strong portfolio of patents and impactful collaborations, Tyler continues to influence the way fraud and abuse are detected in healthcare. His pioneering work at Fair Isaac Corporation is a testament to his commitment to enhancing the integrity and efficiency of healthcare systems.
Inventor’s Patent Attorneys refers to legal professionals with specialized expertise in representing inventors throughout the patent process. These attorneys assist inventors in navigating the complexities of patent law, including filing patent applications, conducting patent searches, and protecting intellectual property rights. They play a crucial role in helping inventors secure patents for their innovative creations.