With ever-growing regulations and increasing areas of prescription fraud, waste and abuse, today’s pharmacies and pharmacy benefit managers must find a balance between risk mitigation and operating efficiency.
LexisNexis® offers a multi-layered approach to help identify and reduce prescription fraud related to provider, claims and member schemes; new member enrollment via Health Exchange Marketplaces; complex billing schemes; and organized fraud rings.
Uncover collusive schemes
Through data linking, unravel complex prescription fraud conspiracies perpetrated by organized crime groups.
Combine visualization capabilities, disparate data and linking technology to resolve identities and uncover relationships that may suggest prescription fraud.