Good Health and Can We #SolvePT Medicare Audits Using Data Drilling to Fight Fraud?. Elvonda

Good Health and Can We #SolvePT Medicare Audits Using Data Drilling to Fight Fraud?. Elvonda - Hallo friends Health Physical Therapy, In the article you read this time with the title Good Health and Can We #SolvePT Medicare Audits Using Data Drilling to Fight Fraud?. Elvonda, We have prepared this article for you to read and retrieve information therein. Hopefully the contents of postings Article #SolvePT, Article healthcare fraud, Article Medicare and Medicaid, Article Medicare audits, Article physical therapist, We write this you can understand. Alright, good read.

Title : Good Health and Can We #SolvePT Medicare Audits Using Data Drilling to Fight Fraud?. Elvonda
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Good Health and Can We #SolvePT Medicare Audits Using Data Drilling to Fight Fraud?. Elvonda

Excellent webcast describes data-drilling for healthcare fraud by Thompson Reuters and XL Health.

Log-in here.

Complex, computer driven algorithms described in this webinar scan Medicare and Medicaid databases to look for "patterns of suspicious behavior".

For instance, the famous "ambulance trips to nowhere" are described here.

The take-home message is that fraudsters are finding it MORE difficult to use the healthcare system's inherent complexity to their advantage.

The data-drilling maps the healthcare providers referral patterns

What should be apparent after watching this webinar is that the typical physical therapist in private practice is NOT your typical fraudster.

Despite having a these documentation characteristics:
...most physical therapists should not be on the list of "high-risk providers".

I wonder how we can #SolvePT when we're talking about Medicare Audits?




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