Reducing Health Care Fraud through Analytic Insight
Personnel at a hospital in Miami called an Illinois woman repeatedly, demanding she pay a $2,000 bill for giving birth. She...
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SAS to deliver in-database analytic scoring to health care insurers
The health care industry – like many others – is often overwhelmed by the vast amounts of customer data available. As...
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N.C. and IBM team up to combat Medicaid fraud
Gov. Bev Perdue announced an effort Wednesday to track down Medicaid fraud by creating a partnership with IBM to discover abuses...
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Use of biometics rises to combat ID theft and fraud
Governments that are looking to protect health benefit records and safeguard citizens from identity thieves might want to check out their...
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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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