1. Fraud and Abuse in the U.S. Healthcare System
These four solutions are training and education, implementation of computer assisted coding (CAC), increased federal enforcement of fraud and abuse monitoring, and use of data modeling and data mining. ... Data modelling and mining techniques are perhaps the most valuable tool the organization can utilize in detecting fraud and abuse. Data modelling and mining techniques can be used to identify both consumer fraud and provider fraud. ... The advancement of data mining and machine-learning programs gives healthcare organizations and providers the ability to predict potential fraud and abuse (Eb...
- Word Count: 1842
- Approx Pages: 7
- Has Bibliography
- Grade Level: Undergraduate