Healthcare fraud
waste and abuse affects everyone either directly or indirectly where billions
of dollars are lost annually. These losses in turn lead to skyrocketing
healthcare costs and ever increasing insurance premiums. The sheer size of the
healthcare sector and the money involved facilitates the need for a robust hospital fraud waste and abuse solution to reduce costs associated with the healthcare
system.
Use an Intelligent Healthcare System
Unstructured Data use within healthcare holds the key to the
development of intelligent healthcare systems. Clinical data is innately
complex and 80 percent of all data remains unstructured. However, the important
part is realizing value from big data. Healthcare fraud is a reality where
individuals and organizations perpetrating fraud are a constantly evolving
group looking to make the most of loopholes in the healthcare system. Equally
important is healthcare abuse where a fraction of providers believe they can
beat the system and earn profits through unwanted surgeries and exaggerated
claims. Then again, waste is another major factor that indicates inefficiencies
in administrative and operational levels.
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