Monday, May 28, 2012
Predictive Analytics and Medicaid Fraud
A good example of using predictive analytics with medical data. Here with billing data: " ... "The beauty of this system is that it recognizes patterns of billing behavior that don't fit in with the norm and then takes it a step further by looking for relationships among providers that can point us to a Web of suspicious accounts," Al Delia, North Carolina DHHS acting secretary, wrote in an IBM blog post. ... "
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