New Technologies Aid in Detecting Health Care Fraud

9 Jun

Ade Adebisi, CEO Ascellon Corporation

As Government agencies are increasingly turn to new technologies in the war against fraud, waste, and abuse, advances in data mining, fraud detection and program monitoring will play a major role.

New data mining technologies allow for fraud risk assessment based on comparing data, analyzing trends and comparing problem areas. Analysts can share and compare current and historical data across units and regions to identify current and prevent future fraudulent activity.

At Ascellon, we’ve found that providing analysts access to new technologies we’ve developed, increases the speed with which fraud is detected and ultimately increases ROI in detection technology.

Our product provides for advanced program monitoring and analysis, allowing team members to simultaneously examine specific datasets related to diagnosis, payment patterns, medical providers, patients, prescriptions, and demographic and peer-to-peer comparisons.

As agencies confront challenges facing government health care, they will find that the effectiveness of new tools that take advantage of the latest in data mining and fraud detection technologies, will have improved exponentially, while their costs have dropped significantly. Ascellon is committed to fighting fraud waste and abuse; providing new, efficient tools for detecting fraud and lifting the burden from taxpayers.

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