Medicaid Fraud Detection and Research for HHS

Category: Data & Statistical Analysis, Data Mining, Data Processing & Validation

Technologies

ETL,Data Cleansing,SAS, Oracle, Microsoft Access, Fraud Tracking System

About

DAS was contracted to serve Centers for Medicare and Medicaid Services (CMS) in Medicaid fraud detection and research. The task included investigating, collecting and designing algorithms for fraud detection, waste and abuse as well as building a library of best practices for long-term fraud detection efforts at the federal level. The project helped improve federal health care services, impact states and Medicaid benefits beneficiaries.