Healthcare providers collect enormous amounts of data. We will discuss how the data that is already collected can be used to prevent and detect fraud.
There are data analysis tools that can be implemented to provide real-time analysis of red flags. If anomalies are detected, what are the next steps: i.e. further investigation, self-reporting of false claims or fraudulent billing? What are the potential fines and penalties?
Finally, how can an organization build an ethical culture to prevent fraud in the first instance or rapidly detect it and root it out if it crops up?
Patrick D. Pilch, Managing Director, National Healthcare Advisory Leader, BDO
Jeffrey Harfenist, Global Forensics Managing Director, BDO
Jessica Allen, Director, Management Advisory Services, BDO
Kevin Tierney, Business Litigation Attorney, Frost Brown Todd
Chad Eckhardt, Partner, Vice Chair of the Health Care Industry Group, Frost Brown Todd
Sam Koeppe, Global Forensics Manager, BDO
* CPE / CLE pending