Use Analytics to Fight Healthcare Insurance Fraud and Abuse, means…!
The big merit when it comes to Big Data/Analytics is
our ability to understand data and their correlations; extract valuable and
actionable insights from interactions and to drive innovations. We can use this
wealth to inter alia mitigate and detect fraud and
abuse.
This
means that ,with the advanced analytics, you can detect fraud
patterns and suspicious activity, qualify them in real time, and decide how
they should be treated.
Sophisticated platforms (with limited aberrations) can allow to identify
issues at the moment of payment; analyze millions of data points; identify and
predict suspicious claims and activity in real-time and can bring deep
knowledge of data management and our expertise in counter-fraud and abuse
solutions and services.