Recommend at least three ways that data analytics can be incorporated to detect and prevent fraudulent activities from occurring at Cigna and Humana healthcare.
Answer: It is necessary to prevent the fraudulent activities which generally occurs in the healthcare. The violation of privacy, misuse of data etc. Occurs due to many reasons. Some of the ways through which these can be prevented are:
Recommend at least three ways that data analytics can be incorporated to detect and prevent fraudulent...
Discuss fraud and abuse in healthcare. Provide at least three specific examples of fraudulent practices that have taken place in U.S. healthcare, and describe ways to prevent these in our modern healthcare environment.
Discuss what is business intelligence, automation, and data analytics? What are some ways auditors can use these to help in an audit?
Data analytics is a powerful tool in fraud detection and is often used to search for signs of fraud in the purchasing function. To learn more aout data analytics as a fraud detection tool is purchasing, visit the Fraud Magazine Web site (www.fraud-magazine.com) and search for the January 2013 article "Devil in the details: anti fraud data analytics." a. The article discusses a purchasing fraud that occurred in a stage government agency. What was the nature of the internal controls...
Suggest three ways by which essential fatty acids can be incorporated in your meal plan; 1 2 3
In how many ways can one obtain at least three jacks in a six card hand? Example: A card is drawn from an ordinary deck. [#5-8]
How fire protection systems can help prevent loss of life and property in at least three types of building structures (fire resistive, combustible, and non-combustible)?
For this week's discussion, please identify at least three (3) ways that HIM professionals can be involved in/with databases.
Which of the following actions did the Treadway Commission recommend to reduce fraudulent financial reporting? a. Establish financial incentives that promote integrity in the financial reporting process. b. Identify and understand the factors that lead to fraudulent financial reporting. c. Assess the risk of corruption and misappropriation of assets within the company. d. Design and implement internal controls to provide reasonable assurance of preventing fraudulent financial reporting. Which of the following statements is (are) TRUE? a. Perpetrators who do not...
Describe at least three ways computer viruses can spread. Explain why computer worms are bigger threat to computer security than computer viruses.
Evaluate at least three (3) Health Information Systems (HIS) and three (3) data storage designs select the best HIS and data storage design for disaster recovery purposes. Indicate your selections with rationale. Evaluate three (3) management challenges related to clinical indices, databases and registries from the perspective of a hospitals health information management function. recommend three (3) best practice or policies related to the management of secondary data sources. With respect to data warehousing, appraise at least two (2) approaches...