HHS Expands Use of AI in Detection of Healthcare Fraud
The United States Department of Health and Human Services (“HHS”) announced at the end of May that it is expanding its...
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TDI analysts work behind the scenes to stop insurance fraud
TDI Fraud Unit analysts Anita Todd and Vivian Cervantez play a key role in unraveling insurance scams across Texas. Their job...
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Ways & Means Advances Anti-Fraud Bills
The House Ways and Means Committee approved several bills last week aimed at reducing waste, fraud, abuse, and errors in the federal budget...
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Top 10 Recommendations for Addressing Fraud in NJ PIP Arbitration: A DRP’s Perspective
New Jersey’s no fault PIP system presents a unique blend of statutory requirements, arbitration procedures, and evolving fraud schemes. For carriers,...
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Community colleges use AI to fight fraudsters — but scammers keep finding new ways in – Local News Matters
YEARS SINCE FIRST BEING TARGETED by COVID-era financial aid scammers, California’s community colleges still can’t fully shake the fraud. It’s not for...
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OIG Updating Fraud, Waste and Abuse Detection Algorithms with AI
Teams within the OIG Data Operations Division recently launched new efficiency-focused tools that speed up data collection, analysis and distribution. Performance...
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“Fraud Department” Scam Drains Thousands While Another Victim Finds Insurance Policy Opened in His Name
One victim lost thousands buying gift cards for a fake computer technician. Another discovered someone had allegedly opened insurance-related accounts using...
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Insurance regulation bills clear House
Gov. JB Pritzker says he looks forward to signing a pair of bills that cleared the Illinois House on Wednesday giving the state Insurance...
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Before You Click That Fraud Alert Text, Do This Instead
Fraud alerts can quickly notify you of suspicious or unauthorized activity on your bank accounts. But sometimes fraud alerts themselves can be a...
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Warning over new AI insurance scams
Insurance fraud in the United States costs consumers an estimated $308.6 billion a year, and artificial intelligence is making it worse...
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