To outsmart the criminals, we need to learn to think like criminals.

We’re only finding a small percent of total fraud. Hundreds of billions of dollars are lost to fraud in the healthcare industry alone. Right now, finding insurance fraud and healthcare fraud in particular, is a reactive process. We hear about a scam, then we search for it. We’re like fire fighters racing to the latest emergency. Unfortunately, by the time we hear about a new scam, it is often blazing out of control.

The rest of this chapter will give you insights into how to think like a criminal to prevent fraud. If you want to read the whole chapter on one page choose the Printer-friendly Version.