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Published byGervase Warren Modified over 9 years ago
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Contract and Policy Changes and General Future Expectations
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Investigations vs reviews Audits vs Investigations Data Mining Activities Recoupments Dependency vs Interdependency Task Force Oversight - Metrics
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OIG PI Audits Data Analytics Recoupments MCOs PI Audits Data Analytics Track, Trend, Report Periodic Data Mining-Outliers OIG and MCOs Track, Trend, Analyze
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Correct issues in policy Findings to feed system Detect, Investigate provider fraud Consistency in guidance to MCOs MCOs correct issues internally Prevent future occurrences
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