By: Vispi Jilla, SmartLight Analytics Principal Advisor Healthcare and benefits are tools companies use to gain a competitive advantage …
fraud
The Differentiator: Inferential Analytics
What is inferential analytics? This analytic method is used by the SmartLight team to find fraud, waste, and abuse in employee healthcare claims. Simply put, it …
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Cosmetic Surgery Is Ripe for Fraud
Multiple healthcare fraud schemes have been investigated over the years involving providers who misrepresent cosmetic procedures as medically necessary ones to …
