Transcript Curb-stoning, a Too Neglected and Very Embarrassing Survey

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Fraud refers to a criminal act.
Abuse is a civil violation where criminal intent
cannot be proven
In the case of surveys, it appears falsification
is an abuse of trust.
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Data Mining
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Development of specific statistical models (which reflect
particular behaviors)
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Baseline distribution (Spike Models)
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Peer Comparison
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Link Analysis (geographical, professional, beneficiary)
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Sampling
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Organizations have entire departments devoted
toward finding fraud.
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Subject Matter experts
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Investigators
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CMS has a fraud detection unit with over 100
statistical models that are run frequently.