How smart software can help you find fraud

Machine learning increasingly is being used to discover fraud schemes. With this type of artificial intelligence (AI), the technology learns or improves in accuracy through experience, rather than through additional programming. If you already use AI in your business, you’re probably somewhat familiar with how machine learning works. But here’s a quick overview of its […]

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Long Awaited Relief for Medicaid Only Providers

Medicaid only providers, including Intermediate Care Facilities for the Intellectually Disabled (ICF-IID), Assisted Living, and Waiver, finally received some long awaited good news. On June 9, 2020, the Department of Health and Human Services (HHS) announced additional distributions from the Provider Relief Fund to eligible Medicaid only providers that participate in state Medicaid and Children’s Health […]

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Is there a fraud perpetrator behind those behavioral issues?

The recently released 2020 Association of Certified Fraud Examiner’s (ACFE’s) occupational fraud study, Report to the Nations, reveals that the most common behavioral red flag exhibited by fraud perpetrators is living beyond their means. Also high on the list are financial difficulties and unusually close relationships with vendors and customers. Some of these signs may […]

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