Identifying objectives for fraud detection software The 2000s brought extensive growth for a well-established Midwest-based health system, particularly once it entered the Medicare market in 2005. With the goal of further expansion, the company realized in 2015 the software used by its Special Investigations Unit (SIU) had shortcomings that needed to be remedied. The health system identified three main objectives: 1. Centralize all its data 2. Improve reporting internally and for CMS audits 3. Track all cases under investigation After researching and meeting with multiple vendors, the company chose LexisNexis ® Health Care and its Intelligent InvestigatorTM software. An advanced fraud, waste and abuse detection and data mining system, it leverages sophisticated rules-based analyt

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