Artificial intelligence often seems misunderstood, especially in fraud. The same is true of machine learning. One of the amazing things about them is they ask the unasked questions. This occurs as artificial intelligence (AI) and machine learning (ML) go about their daily work. So, what is the unasked question? Too
Tag: medicare fraud
There are times when I harken back to the classic television show M.A.S.H. For those of you too young to remember, the story centered around a mobile Army surgical hospital in the midst of the conflict in the Korean peninsula. While they weren't the first people to see the patient, the unit
Another day, another scam defrauding insurers and governments. For purposes of full disclosure, the case I'm highlighting today comes from Washington's Labor and Industries (L&I), the agency where I formerly worked and headed up fraud prevention efforts, and the investigation dates back to my time there. During my time there,
Personally, I love studies. They help put things into context, and when done well, provide an independent and hopefully unbiased view of the forces that shape our lives. They are also a great way to see government funds used in strange ways. For example, the new NIOSH (National Institute for
Watching our nation approach the "fiscal cliff", and the dire predictions if we truly drive off it like the last scene in Thelma and Louise, has sharpened my view of the potential risks that huge gaps of fraud and abuse present to all of us. One of the key lessons