Monday, April 25, 2016

Healthcare Fraud Waste and Abuse- From Detection to Prevention

Big data is helping businesses save costs, gain a competitive advantage or identify new opportunities, and the healthcare industry is no different. Big data technologies help predict illnesses, save lives and improve the overall quality of life.  With modern predictive methodologies in place,chronic diseases and illness can be predicted before the manifestation of symptoms. This helps in early interventions resulting in saved costs, resources and lives.

Provider Fraud Waste and Abuse

  • Fraud- Intentional deception
  • Abuse- improper billing
  • Waste- carrying out unnecessary treatments

Such practices cause losses in the billions each day for the healthcare industry. Efficient and advanced IT solutions play a crucial role in reducing such waste. 

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