Healthcare has always been a prime target for fraudsters. As more consumers sign up for coverage, more providers enroll in networks, and more benefits are provided the potential for fraud schemes to become more complex grows. Overlaying linking analysis to internal and external data sources can remarkably change the way health care entities identify and address fraud and abuse.
This approach is an advanced analytic mechanism for discovering significant links between individuals, businesses, assets and properties. Linking analytics is not simply visualization or geo-mapping software. Coupling this powerful capability with data can unlock hidden truths and patterns leaving your organization exposed to reputational risks, wasteful spending, quality reporting concerns and member safety pitfalls.
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