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Detecting and Preventing Healthcare Fraud with
Audit Analytics

The Healthcare industry is susceptible to fraud carried out by both providers and claimants. This article will look at a few techniques for detecting fraud using data analysis technology and provide common examples that may help you identify opportunities for fraud prevention at your organization.

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Application Sheet

Additional Resources

Whitepaper Do you know that according to the association of Fraud Examiners, fraud is costing US companies $994 billion annually? ACL technology is used around the world to detect indicators of a wide range of fraud. Read Now

Recorded Webcast Revenue Recovery and Operational Efficiency with Continuous Controls Monitoring: A Case Study of Memorial Healthcare System View Now

Article Using Technology to Fight Fraud - Building a Better Mousetrap Read Now

RAC Attack: Using Audit Analytics to Find Money in Healthcare Learn how to employ technology to effectively recover badly-needed dollars lost to improper payments. Find out how the Recovery Audit Contractors (RAC) team at Palomar Palmerado Health leverages audit analytics to identify potential vulnerabilities and take corrective actions for accurate billing practices. View Now! View Now

ACL Case Studies

Memorial Healthcare System "We are looking forward to expanding the use of continuous monitoring solutions and achieving similar results in other critical business areas." Read the full story

Bon Secours "ACL software is a wonderful tool to help auditors gain greater data coverage in an efficient and effective way. Bon Secours a big proponent of ACL, and we feel it's valuable in every audit we do." Read the full story

Carolinas HealthCare "ACL has enabled us to take control of our data and gain a deeper understanding of trends in Managed Care Organization plan payments. As CHS Audit Services gained more experience with ACL's software, the project completion time dropped by 50 percent, even as its scope continued to expand. This three-year Managed Care Payment project has been so successful, the Variance Summary Report was nicknamed 'the treasure map'." Read the full story

CHAN Healthcare Auditors "An audit process that uses ACL technology is light years ahead of manual sampling. In the past, you'd have to hit the lottery to find something big. With ACL, we can find the root issues, identify trends, and provide our clients with detailed results" Read the full story

HCA "The next step for HCA's audit group is maximizing ACL as a value-added tool in continuous monitoring, using data from company sub-systems and third-party vendors. And we are starting to make that happen at HCA with amazing results. ACL technology enables us to institute auditing procedures that are driving best practices throughout the company." Read the full story

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