Ladies and gentlemen, I give you Value-Based Payments (VBP), health care’s new magic, “silver bullet” that will solve all our fraud problems. Last month, the US Department of Health and Human Services (HHS) issued a press release entitled, “HHS Proposes Stark Law and Anti-Kickback Statute Reforms to Support Value-Based and
Most insurance companies depend on human expertise and business rules-based software to protect themselves from fraud. However, people move on. And the drive for digital transformation and process automation means data and scenarios change faster than you can update the rules. Machine learning has the potential to allow insurers to
Certain North Carolina counties have been in the news lately, for suspected election fraud involving absentee ballots in the 2018 election. Let's analyze the voter registration and absentee ballot data, to see if we can detect anything suspicious! In order to definitively determine whether fraud & illegal activity occurred, investigators
