Publications

How the DOJ Uses AI to Detect Healthcare Fraud

Featured, Healthcare Info Security

Adrienne Frazior discusses how the U.S. Department of Justice is using artificial intelligence and advanced data analytics to identify potential health care fraud more quickly. She cautions that anomalous data can have explanations other than fraud, making human review, verification and traditional investigative techniques essential. Frazior also advises health care providers to proactively analyze their own claims data to identify and address potential compliance risks before regulators do.