Using Link Analysis to untangle fraud webs

Posted by Douglas Wood, Editor. NOTE: This article originally appeared HERE by Jane Antonio. I think it’s a great read… Link analysis has become an important technique for discovering hidden relationships involved in healthcare fraud. An excellent online source, FierceHealthPayer:AntiFraud, recently spoke to Vincent Boyd Bryant about the value of this tool for payer special … More Using Link Analysis to untangle fraud webs

Perhaps a nice change at NICE Actimize?

Posted by Douglas Wood, Editor.  http://www.linkedin.com/in/dougwood Though not publicly released, news out of NICE Actimize is that long-time CEO Amir Orad is leaving the company effective May 1. Indicative of the ‘what a small world this is’ nature of the financial crimes technology marketplace, former Pegasystems co-founder and head of Americas for BAE Systems Detica, Joe Friscia, … More Perhaps a nice change at NICE Actimize?

To 314(b) or not to 314(b)?

Posted by Douglas Wood, Editor.  http://www.linkedin.com/in/dougwood FinCEN today (November 1, 2013) released a fact sheet regarding data sharing between financial institutions under the Section 314(b) of the US Patriot Act. 314(b) provides financial institutions with the ability to share information with one another, under a safe harbor that offers protections from liability, in order to better … More To 314(b) or not to 314(b)?