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Health Care
Pinpoint healthcare fraud, waste and abuse with confidence!
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the case study.
Healthcare fraud costs over $100 billion every year, but only 3-5% of it is actually detected. Payers need a true picture of their claims to be able to combat organized crime and complex billing and referral schemes.
One example...the health plan saw something suspicious in the one doctor's prescribing patterns. Acting on a tip from the plan's pharmacy department, the Special Investigations Unit (SIU) looked into the matter - one result - a tightening of the rules for prior authorizations.
Download the full case study to learn how LexisNexis
®
Intelligent Investigator
™
helped this SIU find the precise information they needed to address the case.
For more information about the LexisNexis
®
Health Care fraud capabilities that set us apart in the market, speak with one of our experts at 866.396.7703 now.
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