Data analytics aided fed’s national sweep of Medicare fraudsters
Attorney General Loretta E. Lynch and Department of Health and Human Services (HHS) Secretary Sylvia Mathews Burwell this week announced an...
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CMS Marks Success with Fraud Prevention System’s “Big Data” Effort
Over the past five years, the Centers for Medicare & Medicaid Services (“CMS”) has used “big data” and predictive analytics approaches...
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Red Box recorders becomes key partner in battle against insurance fraud
INTERTEL, Inc., the leading medical canvassing firm in North America, has chosen Red Box Recorders as a key technology partner in...
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Experian India launches new fraud solution for banking and insurance
Global data analytics company Experian, launched its ‘Hunter Fraud Score’, a new scoring mechanism that measures the probability of fraud in...
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Insurers use drones for crop yields
Private insurance companies are using drones to photograph farms and if permitted by the agriculture ministry these could provide data to...
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Cyberattack on Hollywood hospital exposes vulnerability of digital records
A cyberattack on a hospital in Hollywood shows how vulnerable doctors and patients have become as health care data is transferred...
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If it’s public we can use it – Metlife on social media ethics
In Dublin this week, Marty Lippert, the company’s executive vice president for global technology and operations, said the insurance giant uses...
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Predictive modeling helping to flag suspect claims quicker and better
A rather typical business story became a head-scratcher of a Workers’ Comp claim — and an illustration of the power of...
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Doctors in South Carolina will soon be required to consult drug database
Most doctors in South Carolina will soon be required to consult a database of patients’ medical history as a way to...
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Massachusetts creating new data system to combat drug diversion
The Massachusetts Department of Public Health has awarded Kentucky-based Appriss a five-year, $6.2 million contract to develop and implement a new...
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