Dataiku

JULY 10, 2019

Insurance fraud is a major issue that drives up healthcare costs for insurers, providers, taxpayers, and patients. the National Healthcare Anti-Fraud Association estimates that payers spend up to $68 billion a year due to fraud.

Insurance 83

Insurance Risk Machine Learning 83

Dataiku

JULY 12, 2019

We already studied Medicare data using Dataiku in this video. This time, instead of looking at the impact of payments on the physician prescriptions, we will have a look at the possibility of detecting Medicare fraud.

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69

Cloudera

DECEMBER 16, 2020

By submitting accurate vaccination billing and coding for submission of claims to the Centers for Medicare and Medicaid Services (CMS). For example, if a patient visits a physician with COVID symptoms, the doctor can verify whether they’ve received the vaccine to determine appropriate testing and treatment plans. .

Cost-Benefit 57

Cost-Benefit Insurance Reporting Testing 57

datapine

OCTOBER 21, 2020

9) Reduce Fraud And Enhance Security. Likewise, it can help prevent fraud and inaccurate claims in a systemic, repeatable way. For instance, the Centers for Medicare and Medicaid Services said they saved over $210.7 million in fraud in just a year. Exclusive Bonus Content: Boost your healthcare business with big data!

Big Data 364

Big Data Data Analytics Analytics Cost-Benefit 364