Tag Archives: predictive analytics

Neville Zar: Analytics use essential to keep healthcare vendors accountable

Neville Zar, senior vice president at Steward Healthcare, is bullish on keeping the health system’s slate of vendors accountable, using a host of tools including analytics platforms to measure the performance and the reliability of their services. Continue reading

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“Big Data” Tools Saved Medicare $1.5 Billion

CMS implemented a Fraud Prevention System (FPS) using “big data” and predictive analytics approaches to fight fraud, waste and abuse in the Medicare fee-for-service program, five years ago. Since inception, FPS has saved Medicare over $1.5 billion in inappropriate payments … Continue reading

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BREAKING NEWS: CMS awards $91 million contract for fraud detection

CMS awarded defense contractor Northrop Grumman a $91 million contract to develop and implement a second generation advanced analytics system, called the Fraud Prevention System2 (PFS2), to help identify so-called “high-risk” claims in Medicaid and Medicare. Continue reading

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Can Denials Be Predicted Before Filing Claims?

And If So, What’s that Worth? No one has the ability to capture and analyze data from the future. However, there is a way to predict the future using data from the past. With the evolution of big data in … Continue reading

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