Enhanced Data for More Powerful Fraud Prevention

Health care reforms have placed pressure on providers to adapt to completely new business models. Unfortunately, this added financial pressure has seemingly motivated an increased number of providers to choose fraud, waste or abuse as a tactic for subsidizing their shrinking bottom lines.

The National Health Care Anti-Fraud Association (NHCAA) has developed and implemented the Special Investigation Resource and Intelligence System (SIRIS), designed and powered by LexisNexis® Risk Solutions. SIRIS is a contributory database that allows NHCAA members to submit, track, monitor and share information related to potential provider fraud and associated investigations. Download the white paper to learn how its fraud detection capabilities can be augmented by combining external derogatory data.