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24 September 2020

HHS accelerates modeling technology to detect fraud

In an escalating battle against Medicare fraud, the Health and Human Services Department plans this summer to begin computer analysis of...

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24 September 2020

Ga. bill to mandate high-tech Medicaid cards advances

Legislation that will bring high-tech Medicaid cards to Georgia in hopes of preventing fraud moved to the Senate Health and Human...

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24 September 2020

CMS contract with CGI for provider data collection

The Centers for Medicare and Medicaid Services (CMS) has awarded CGI Federal Inc., a wholly-owned U.S. operating subsidiary of CGI Group,...

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24 September 2020

Technology advances helping regulators combat fraud

Regulators and law enforcement are expanding their use of new health care fraud-fighting technologies such as predictive modeling and analytical frameworks,...

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24 September 2020

Biometrics touted as solution to curb healthcare fraud

A Sioux Falls businessman says he has a solution that could save the federal government billions of dollars by preventing Medicare...

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24 September 2020

Medicare turning to technology to fight insurance fraud

In 2007, criminal investigators and prosecutors vowed to revolutionize the way they fought health-care fraud: They would mine claims data to...

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24 September 2020

Infoglide Launches Anti-Fraud Solution Suite

Infoglide Software Corporation (www.infoglide.com) announced today the general availability of its new Anti-Fraud Solution Suite. The suite was developed using Infoglide’s...

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24 September 2020

New software Detect, Prevent and Investigate fraud

Today, Customer Expressions (www.customerexpressions.com) announced that the company will be co-exhibiting with Thomson Reuters at a variety of upcoming health care...

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24 September 2020

New law requires feds to employ predicting modeling

The Small Business Lending Act, which President Obama signed into law on Monday, includes an anti-fraud provision that soon will require...

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24 September 2020

Improving analytics seen enhancing fraud detection

Detection and prevention of claims fraud is both an art and a science. Human insight, legwork and persistence are essential to...

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