Complimentary White PaperEnhance results when public records are integrated into your FWA program.
In 2013, the U.S. Department of Health and Human Services estimated that it improperly spent about $65 billion in taxpayer funds through waste, errors and fraud – with $60 billion attributed to overpayments to Medicare and Medicaid.
Historically, claims data has been the sole resource for investigators to mine data from in order to identify overpayments. However, implementing public records data into a core claims detection program can greatly enhance a payer’s ability to uncover derogatory attributes linked to providers and other individuals across the health care system.
The use of public records data can help strengthen a case by providing information that is not found in claims data alone, such as license status, criminal convictions and other high-risk indicators.
Download the white paper to learn more.