Eye scanners used in NYC clinic prevents errors, fraud
Rafael Fernandez walks into the Bronx, New York, medical clinic, with his eyes wide open. Checking Fernandez in, a clinic employee...
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DC fraud bureau using new national referral system
As insurance companies and state fraud bureaus look to stay proactive in the fight against illegal activity, collaboration is key. With...
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Social network analysis aiding fraud investigations
The insurance industry remains under continuing pressure to increase operating efficiency through better data utilization. At the same time, insurers must...
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NICB adds cellphone texting capability to report fraud
The National Insurance Crime Bureau (NICB) is extending its outreach to the over 246 million cell phone users in the United...
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Both human and tech resource needed to combat fraud
Fraud detection is Basic to insurance operations, and never more so than during a down economy. In addition to ongoing efforts...
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Feds planning new database to detect healthcare fraud
CMS is working to develop a comprehensive database of claims and payment information for all federal health programs, Modern Healthcare reports....
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Predictive modeling seen growing to detect comp fraud
A trio of experts here explaining predictive modeling said that while it won’t replace knowledgeable insurance adjusters and underwriters, it is...
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Predictive modeling ‘no substitute for fraud investigation’
Predictive modeling certainly has advantages. Insurers can use it to streamline the underwriting process so underwriters only review exceptional cases, rather...
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New technology helping to uncover medical ID theft
In the health policy arena, information technology is seen as a panacea to improve efficiency, reduce repeat testing, and save billions....
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Photo IDs used to prevent health benefit theft in N.C.
An increasing number of North Carolina residents are going without health insurance, leading to more risk of insurance fraud, while many...
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