Search Results: program-integrity

Found 2 Skills

fraud-detection

Screen a Medicare/Medicaid claims corpus for fraud, waste, and abuse and produce ranked, fully-cited investigation referrals for an SIU / program-integrity team. Use when asked to run a fraud sweep, screen claims for FWA, find billing anomalies, or generate investigation referrals over a claims dataset.

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41 scripts/Attention

Security & Compliancegtmagents/gtm-agents

fraud-detection

Use to monitor, investigate, and prevent abuse within referral programs.

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