The government charge defendants with approximately $1.3 billion in alleged fraud. Among those numbers, 56 are doctors and 120 have been charged with opioid-related crimes, making this the largest opioid-related fraud takedown in American history. Other offenses included billing government health services for fraudulent claims, swapping prescriptions for money and illegally recruiting subscribers to medication.
It was the leveraging of many resources
That made the takedown such a huge success,” said William Parente, the Health Care Fraud Unit Chief in the Criminal Investigative Division at key features of autoscout24 the FBI. He recently spoke as a panelist at the 2017 ACT-IAC Fraud and Abuse Forum in Washington, D.C. Catching and taking down fraud is an issue across government agencies. In addition to fraud, the government also faces challenges of addressing waste and abuse.
They’re using data analytics to do it.
At the forum, experts from both government and private sector companies spoke about the current fraud climate and the challenges both overseas chinese in canada data sides face. Acting Inspector General at the United States Postal Service (USPS), Tammy Whitcomb, addressed the issue of health care, financial and contract fraud. “We realized that unless we got heavily invested in data analytics, we wouldn’t be able to keep up,” Whitcomb said. The USPS started big, such as building models to rank risk.
The Postal Service built a model on claimant
With over 600,000 employees, so much revolves around worker’s comp, where some take advantage of the injury and accident program and decide not to go back to work for an extended period of time. The Postal Service pays up to $1 billion per year rich data for workers comp. Initially, much of the investigative work was related to hotline tips or information from employees. But the USPS wanted to create an analytics model that could pinpoint fraudulent claims.
Whitcomb said USPS collaborated with
The private sector and experts in the field to build such a model. The USPS has since built models to track financial and contract fraud. “[Data analytics] has helped us decide where to allocate our resources,” Whitcomb said. She discussed the value of data analytics in what she described as tripwires, which center around smaller analytics.
