Medicaid fraud is a an attack that requires due diligence on behalf of state health and human services agencies in order to understand vulnerabilities and assess risk. Much like cyber attacks, fraudsters are accessing health care systems and submitting Medicaid fraud through multiple channels and can go unnoticed, even with existing tools and business rules. Today’s fraud consists of well funded, intelligent and technically savvy teams that are able to reach across the globe in pursuit of agency vulnerabilities. The ASR Risk Assessment for Healthcare uses advanced analytic techniques to rapidly assess risk and recognize fraud that might otherwise go unnoticed.
Benefits of the ASR Risk Assessment for Healthcare include:
- Understand Risks – identify existing and potential vulnerabilities.
- Identify Schemes – correlate complex events to combat fraud.
- Develop Actionable Insight – understand challenges then take action.
Learn more about our Healthcare analytic products: