New Methods Save Time and Help Operators With Accounting Checks
An effective fight against accounting fraud in outpatient care is particularly costly. Due to the special situation, it is very difficult to prove a complaint for individual services. Many »small« services play a role here, or even the indication of possibly demented patients is used for fraud. There is usually a lack of time and trained personnel for the verification. Experts of Fraunhofer ITWM support those responsible – such as law enforcement agencies – not only with experience knowledge. Fraunhofer ITWM has also developed efficient methods that enable faster billing checks.
Especially the damage extrapolation is to be mentioned here, which means a considerable relief for the investigators. »Our calculations give the investigating authorities the possibility to reliably pursue cases which cannot be completely determined due to the amount of small individual damages. We thus relieve the investigating authorities considerably«, explains Dr. Elisabeth Leoff of Fraunhofer ITWM. »In some cases, investigators only have to work one month on a review that previously took six months«.