Download presentation
Presentation is loading. Please wait.
Published byAlban Barnaby Johns Modified over 9 years ago
1
Fraud refers to a criminal act. Abuse is a civil violation where criminal intent cannot be proven In the case of surveys, it appears falsification is an abuse of trust.
2
Data Mining Development of specific statistical models (which reflect particular behaviors) Baseline distribution (Spike Models) Peer Comparison Link Analysis (geographical, professional, beneficiary) Sampling
3
Organizations have entire departments devoted toward finding fraud. Subject Matter experts Investigators CMS has a fraud detection unit with over 100 statistical models that are run frequently.
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.