Healthcare Fraud Case Studies

By industry estimates, as much as one dollar in ten—or more than $100 billion annually—is lost to potentially fraudulent healthcare claims. No health payer organization can afford to write off this much. The STARSSolutions family of healthcare informatics and services from ViPS® can help slow—as well as reverse this industry-wide trend. The potential payback is substantial, given the size of the problem being addressed.

As a market leader in healthcare fraud, waste and abuse, ViPS professionals are experts in collecting, analyzing and reporting data related to fraud, waste and abuse. Our healthcare fraud case studies work is backed by an organization with more than three decades of experience aggregating and analyzing data—one with more than 50 large-scale data warehouse deployments, more than 2.5 billion claims stored and analyzed annually, and more than 300 million covered lives analyzed annually.

We offer a suite of solutions that leverages the power of your healthcare information to help control costs and protect you against healthcare fraud, waste and abuse. From pre-pay fraud prevention and post-pay fraud detection to case management and workflow review, our healthcare fraud case studies illustrate how we can control fraud while also reducing recovery costs, changing billing behavior and strengthening provider relations.

	Independence Blue Cross
	MVP Health Care
	Medical Mutual of Ohio