Optimize the Fraud Control Cycle
Fraud control is never a simple matter of buying an expensive fraud control system. Systems are predictable, which is what allows fraud to occur so easily. You can use data analysis and claims processing systems to increase the efficiency of your fraud control efforts, but alone, they can’t stop fraud. Technology is one tool that will help you as you put together the pieces of the fraud control puzzle: leadership, measurement, prevention, detection and enforcement.
When you put all these pieces together, you’ll have a set of controls that can dramatically decrease expenses caused by the fraud found in every healthcare system.