As soon as the data became public a specialized group of attorneys began mining the data looking for indications of fraud and overbilling. While I certainly support measures that identify and prosecute fraudulent billing I feel that using this data as some sort of "smoking gun" on its own si...
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data warehousing to analyze paid claims data, prioritize your risk, and identify problematic code and provider trends. We then generate reports that isolate provider trending and comparative billing, analyze geographic hot spots, and identify unusual billing combinations that can signal fraud and abuse....