JD Supra August 9, 2023
Law enforcement, federal agencies, and private whistleblowers are increasingly working alongside data scientists to identify fraudulent practices by analyzing vast data sets. The application of data analytics has notably amplified the investigation of healthcare claims. It has furnished examiners with the ability to scrutinize and probe irregular billing practices, which typically involves the review of vast sets of data.
The Emerging Role of “Professional Relators” and Data Whistleblowers
As technology progresses, so does the emergence of a new breed of “professional relators.” These relators deviate from the traditional whistleblower archetype. Historically, whistleblowers were insiders armed with direct knowledge garnered from their employment. By contrast, these modern professional relators are principally dependent on their mastery of data science.
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