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...
Read moreGa. 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...
Read moreCMS 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,...
Read moreTechnology 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,...
Read moreBiometrics 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...
Read moreMedicare 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...
Read moreInfoglide 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...
Read moreNew 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...
Read moreNew 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...
Read moreImproving 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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