New tests target prescription drugs in blood system
PeaceHealth Laboratories officials are hoping that a new lab test they have developed will help address the growing problem of prescription...
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N.C. partnership with IBM uncovers $191M suspicions
It may come as a surprise to some North Carolinians that it has been easy for unscrupulous health care providers to...
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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,...
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No 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...
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Point-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...
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Predictive 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...
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Bill 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,...
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Thomson 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...
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Kansas 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...
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Feds 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...
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