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combatting health care fraud. Between 2003 and 2017, Medicare spent $7.7 billion on 37.5 million regularly scheduled, non …-emergency ambulance rides for patients traveling to and from dialysis facilities, with dozens of lawsuits alleging that Medicare … more cost-effective than ex post ligation for preventing health care fraud …
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Purpose – Criminal Medicare and/or Medicaid fraud costs taxpayers $60‐250 billion annually. This paper aims to outline … criminal Medicare and/or Medicaid fraud tend to be male (87 percent), older (average age of 58), and international medical …/value – The paper categorizes doctors convicted of Medicare and/or Medicaid fraud and makes specific recommendations regarding …
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"Proven guidance for expertly using analytics in fraud examinations, financial analysis,auditing and fraud … preventionFraud Analytics thoroughly reveals the elements of analysis that are used in today'sfraudexaminations, fraud investigations … beginning an investigation andexplains how to optimally use data mining techniques to detect fraud. Packed with examples …
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