With the development of big data and predictive analytics, it is easier today than ever before to detect and prevent healthcare fraud. Gone are the days of lengthy, old-fashioned investigation, and here to stay are new technologies that can identify fraudulent activities automatically and instantly. By parsing through big data and analyzing payment trends, predictive analytics softwares can identify inconsistencies in payment and seemingly fraudulent activity. This article delves deeper into the system that mines data and predicts fraud by explaining the many components that make up a fraud detection software. If you are interested in learning more about how you can use technology to detect healthcare fraud, contact our attorneys today to learn more.
Link Analysis
Link analysis focuses on measuring relationships. It mines and analyzes data relating to how individuals, healthcare providers, healthcare employees, and healthcare suppliers are related to and interact with one another. It can identify unusual interactions and even unusual identities, such as multiple or fake addresses and phone numbers.
Healthcare Fraud Lawyer Blog



With about one-third of the cost of the healthcare industry in the U.S. lost to fraud, waste, and abuse, it is vitally important to society that we report healthcare fraud when we see it. While it is certainly helpful to familiarize yourself with the most common healthcare fraud schemes and pay close attention to all bills received from your healthcare provider, it is not always easy – or possible – to detect healthcare fraud with the naked eye. Thanks to technology and the development of big data, however, there are new and improved ways to detect healthcare fraud today that have never before existed. Below is a brief overview of how you can use big data to help combat healthcare fraud. If you believe you have witnessed healthcare fraud, contact one of
The majority of U.S. states have their own version of the federal
The government only chooses to intervene in whistleblower cases that it finds to be strong and in which it has an interest. By presenting your qui tam case in a strategic way, you can catch the eye of the government and encourage them to intervene. Below are several practical tips for strengthening your qui tam case and increasing your chances of getting the government involved in your case.
While most individuals have the opportunity to bring a qui tam whistleblower suit for any violation of the False Claims Act, there are certain exceptions to who may bring a qui tam whistleblower suit and the conditions of the suit. The following are five instances that, if applicable to you, bar you from filing a qui tam whistleblower suit. If you believe any of the following may apply to you, contact an experienced qui tam whistleblower attorney immediately to find out if you fall into one of the below classes and what options are available to you.
You blew the whistle on your employer’s illegal actions, and now your employer is retaliating against you. This is not an unusual situation, but it is an illegal one. Both federal law and California law protect whistleblower employees from employer retaliation and impose large fines on employers who choose to ignore this law. If you have been retaliated against at work for whistleblowing, you may be wondering what you can do to remedy this situation. Contact the attorneys at Willoughby Brod today to have your case reviewed for free and receive actionable next steps for what you can do in this situation.
Medi-Cal fraud occurs more frequently than you think and often goes unnoticed. Unfortunately, this only harms recipients and future recipients of Medi-Cal who desperately need this healthcare assistance program in order to obtain the medical treatments they require. As a whistleblower, you have the opportunity to help put an end to Medi-Cal fraud by reporting healthcare providers and professionals who engage in fraudulent acts. If you detect any fraudulent acts by your healthcare provider, contact the healthcare fraud attorneys at
One of the biggest fears many employees have when deciding whether to blow the whistle on their employer’s illegal conduct is employer retaliation. No one wants to rat out an employer when it means he or she will be fired from a job. Luckily, California has
No one likes a snitch in petty situations, but in the face of corporate fraud, employee whistleblowers are some of the most invaluable individuals to society. While employees may try to seek recourse for improper employer actions internally, they will often find this path closed off to them. A company’s internal human resources department will more often than not side with the employer and not with an employee who is attempting to divulge negative intel about the company. As such, employees are often left with no choice but to blow the whistle on their employer’s unruly conduct through other outlets. Listed below are just a few reasons why employee whistleblowers are so important. If you have reason to believe your employer is engaging in fraud of any sort, contact the experienced whistleblower attorneys at