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This session will discuss real-world cases of healthcare fraud schemes uncovered by Verisk Health's Special Investigative Unit. Our experts will outline analytic techniques used to detect and investigate suspect patterns in medical and Rx claims.
The presentation will focus on:
• Recent trends in provider, pharmacy, and member-level fraud schemes
• A deep-dive analysis of a recently uncovered Rx collusion ring
• Best practices for using data to drive more effective investigations
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