Medical provider fraud is a multi-billion dollar problem that continues to grow in both numbers and complexity as organized rings devise more intricate schemes to take advantage of Auto and Workers Comp carriers. Learn how LexisNexis® Claims Medical Discovery helps carriers identify potentially fraudulent medical provider behavior by resolving provider identities, revealing anomalous patterns and utilizing analytics to monitor suspect providers.
For Auto and Workers Comp carriers, medical provider fraud, waste and abuse is a national, growing, multi-billion dollar problem. Many stories have surfaced about unscrupulous providers setting up sophisticated rings and taking advantage of insurance carriers. Bill review, while valuable, doesn't always provide a comprehensive view into potentially fraudulent provider behavior. (See video for more...)