The Department of Health and Human Services has launched a pilot program to tackle Medicare fraud using tree-based artificial intelligence models and deep learning approaches, HHS Chief Information Officer Karl Mathias said Wednesday.
The program has so far helped streamline fraud identification within the more than one million transactions processed each day by the Centers for Medicare & Medicaid Services (CMS), according to the IT leader…
The IT executive added that the AI systems being tested have an edge over current fraud detection systems because tree-based models allow faster identification of new types of criminal activity.
“As medicare fraud criminals figure out what’s being spotted by law enforcement, they keep changing their techniques, then this AI system figures that out and drops obsolete models based on that,” said Mathias… Read the full article here.