How AI and Data Mining Expose Healthcare Fraud

When most people hear the word fraud in healthcare, they probably picture something fairly obvious. A provider bills for a service they never performed. Someone submits a claim for a patient they never treated. An organization knowingly receives money for something it never provided. Those situations certainly happen. Healthcare fraud can involve intentional misrepresentation of services, medical necessity, billing, or other information in exchange for financial gain. The reality is that fraud in healthcare compliance can become much more complicated when you look at how healthcare organizations actually operate. READ THE FULL BLOG: https://www.simplycomplianceconsultin... WATCH THE FULL EPISODE:    • The Nature of Healthcare Fraud   Learn more at https://simplycomplianceconsulting.com