N.C. fights Medicaid fraud with data analytics software
States budgets are under pressure, and Medicaid funding is often among the hardest hit. But in some states, including North Carolina,...
Read moreNo such thing as a coincidence in fraud technology?
It may be a coincidence, but the fact that two of the leading technology vendors with solutions to help insurance carriers...
Read morePoint-of-purchase fraud being detected by analytics
As insurers continue to expand into the direct channel they are encountering new fraud challenges. The anonymity of direct underwriting via...
Read morePredictive analytics helping reduce health care fraud
Predictive analytics and rules can have a synergistic relationship when it comes to preventing health insurance claims fraud. As a predictive...
Read moreBill in Congress would mandate Medicare smartcards
A small but notably bipartisan group of lawmakers has introduced antifraud legislation that would create smartcards for Medicare enrollees and providers,...
Read moreThomson Reuters launches resource tool to fight fraud
CLEAR, the powerful public and proprietary records service and investigative suite from Thomson Reuters, is well-regarded among law enforcement and government...
Read moreKansas using new technology to detect Medicaid cheats
Three top Kansas officials said Tuesday that they would stop more fraudulent claims for state assistance on the front end by...
Read moreFeds announced new high tech to fight Medicare fraud
Tired of paying bogus claims, then chasing the scammers, Medicare announced Friday it is deploying screening technology similar to what’s widely...
Read moreBiometric palm readers urged to curb N.Y. health fraud
Raise your palm! A Bronx lawmaker has proposed a measure that would require medical providers to use biometric palm readers to...
Read moreFeds to mine state Medicaid data to detect fraud
The Department of Health and Human Services on March 17 will publish a proposed rule enabling federal funds to be used...
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