Healthcare fraud has many faces as a recent Medicare Fraud Strike Force operation demonstrated.
In early October Medicare Fraud Strike Force operations in seven cities charged 91 individuals – including doctors, nurses and other licensed medical professionals – for their alleged participation in Medicare fraud schemes involving approximately $429.2 million in false billing.
The areas of fraud uncovered in the indictment included home healthcare services, mental healthcare services, ambulance transportation services, physical and occupational therapy services and more. Investigators used sophisticated data analysis techniques to uncover the crimes.
As criminals become more creative in defrauding the government, so too are agencies finding more sophisticated tools for detecting fraud. Ascellon Corporation is among the leading companies making sophisticated data analysis tools available to federal clients in the fight against healthcare fraud.
The Answers suite of applications includes quality control mechanisms, intuitive analytics, and interactive reports that take data analysis to a new level, that not only uncovers fraud, waste and abuse but also gives investigators and analysts the tools to prevent, deter, identify and resolve high-risk situations.