On Health Care Fraud Detection Analytics

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On the Intersection of Data and Linking Analytics

By http://www.MCOL.com

fraud

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2 Responses

  1. More Stats on Fraud

    Did you know that by Fiscal Year 2016, recovery auditors collectively identified and corrected 1,532,249 claims for improper payments, which resulted in $3.75 billion dollars in improper payments being corrected? The total corrections identified include $3.65 billion in overpayments collected and $102.4 million in underpayments repaid to providers and suppliers.

    After taking into consideration all fees, costs, and first level appeals, the Medicare FFS Recovery Audit Program returned over $3.0 billion to the Medicare Trust Funds. These savings did not take into account program costs and administrative expenses incurred at the third and fourth levels of appeal (Office of Medicare Hearings and Appeals OMHA) and Medicare Appeals Council within the Departmental Appeals Board (DAB) respectively; as these components do not receive Recovery Audit Program funding for those appeals.

    Wayne

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  2. HIMSS Analytics Database

    According to the HIMSS Analytics Database, approximately one-quarter of US hospitals (28 percent) reported that smartphones are in use at their organization. On average, 169 devices are deployed per hospital.

    In comparison, 24 percent of US hospitals reported that tablet computers are in use at their organization, with an average of 37 devices deployed per hospital.

    Source – HIMSS Analytics

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