Posts Tagged ‘data analytics’
Feds Use Data Analytics to Detect Fraud
A Jacksonville-based healthcare provider accused of making false or fraudulent claims with the Florida Medicaid program agreed to pay $700,000 to resolve allegations it violated the False Claims Act. The case against Physicians Group Services resolves allegations that PGS submitted claims to Florida’s Medicaid program for quantitative urine drug testing that were medically unnecessary because…
Read MoreHow Artificial Intelligence is Detecting Healthcare Fraud
Throughout 2018, we saw how the federal government cracked down on healthcare fraud using a variety of technological advances As we have written about over the years, data analytics is increasingly being used to identify inappropriate payments. Through data mining and the use of predictive analysis, thousands or even millions of transactions, can be searched…
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