Testimony On Fighting Health Fraud Tells Of Digital Tools

Law360, New York (April 10, 2015, 10:51 AM EDT) -- On March 24, 2015, the House Ways and Means Subcommittee on Oversight held a hearing on the federal government's use of data analysis to identify emerging trends in and combat Medicare fraud. Although it is no secret that the government, including the Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services' Office of Inspector General and U.S. Department of Justice, has used data analysis to detect potential fraud and abuse affecting federal health care programs for quite some time, last month's testimony provides some valuable insight into the role of data analytics in current health care fraud and abuse enforcement, as well as the challenges that the government is facing in keeping up with the increasing sophistication of would-be fraudsters....

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