Fact Based List:

Shelly Kramer: 4 types of prescription medicine fraud and the types of data analysis CMS uses to combat it

This List Sponsored by Predictive Modeling News on Thu, 11/19/2015

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  1. Prescription limits exceeded - CMS uses statistical analysis models to flag anomalies
  2. Undocumented claimants using false information - CMS uses data validation models
  3. “Small town scams” - CMS uses pattern analytics models
  4. Benefit plan scams - CMS applies data models to match records

Source: "How Big Data Use In Healthcare Prevents Scams And Fraud," Digitalist, November 6, 2015
Source URL: http://www.digitalistmag.com/industries/2015/11/06/big-data-...

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