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Session 130: Fraud Detection in Health Care, With and Without Predictive Analytics

Session 130: Fraud Detection in Health Care, With and Without Predictive Analytics The presenters will provide insights into fraud and abuse risk in the health insurance industry, including an ...
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Description: The presenters will provide insights into fraud and abuse risk in the health insurance industry, including an examination of traditional and predictive modeling techniques for both prevention and detection. Emphasis will be placed on current and emerging risks. Canadian examples and perspectives will be offered, but the applications for attendees to use in practice are non-nation specific.
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- Authors: Kwame Smart, Mark Russell, Steve Richardson
- Date: Feb 2020
- Competency: Technical Skills & Analytical Problem Solving
- Topics: Health & Disability; Health & Disability>Health insurance; Health & Disability>Payment models

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Session 130: Fraud Detection in Health Care, With and Without Predictive Analytics