Author: Natasha Williams, Chief Operating Officer There is a wave of excitement in the industry surrounding artificial intelligence (AI), and not without reason. AI, with its ability to synthesize massive…
Data & Statistical Analysis
Data Analytics & COVID-19 Recovery: A Math-Free Explanation
Data Analytics is an indispensable tool being used in COVID-19 recovery efforts. Many of us take for granted that this is being used, but are not quite sure how. IntegrityM…
So You’ve Detected an Outlier… Now What?
Fighting fraud, waste, and abuse in health care programs is labor intensive often requiring multiple experts including but not limited to data analysts and statisticians, certified coders, clinicians, auditors and…
Statistical Bias in Health Care Fraud Detection and Prevention Systems
Organizations across the health care program integrity industry are using analytic solutions for fraud detection and prevention that intake and analyze data to signal the threat of fraud. These solutions…
Data Matching Techniques For Healthcare Fraud Detection
Healthcare fraud very seldom happens in a vacuum. Therefore, data matching — the ability to identify, match, and merge records that correspond to the same entities — is essential to…
Medicare Overpayment Recovery: Identifying and Calculating Overpayments
In fiscal year (FY) 2015, the error rate for the Medicare fee-for-service (FFS) program was 12.1 percent, or $43.3 billion. This result is an improvement over FY 2014, in which…
GLȲD(Σ): Revolutionizing Healthcare Data and Statistical Analysis
What if there was a healthcare data analysis solution that could save you a significant amount of time in the sampling and extrapolation process, resulting in substantial cost savings, and…
