1. Identify PatternsFeds are in a perpetual battle with those seeking to steal from Uncle Sam. “It’s basically an arms race,” said Dean Silverman, Director of Office of Compliance Analytics at the Internal Revenue Service (IRS). As soon as the government closes one loophole, the feds open another. That’s where combining data pools and looking for patterns can give the law enforcers a leg up. By combining data from multiple sources and querying it as one large pool of data, or “data lake,” investigators can discover patterns that otherwise would have eluded them. HHS Office of Inspector General concluded that the agency inappropriately paid $23 million in Medicare payments to deceased beneficiaries in 2011. Using this pattern of improper payments, HHS identified 251 providers with high numbers of post-mortem claims.
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MeriTalk Staff