Health care analytics
Controlling opioid abuse is a challenge due to the sheer number of pharmacy claims and the woefully outdated manual methods used to review them. Next-generation analytics overcome these challenges by using multiple data points to identify and uncover purchasing and prescribing patterns that indicate a high probability of abuse.
Joining forces to manage fraud risk
The ACFE has collaborated with the Committee of Sponsoring Organizations of the Treadway Commission (COSO) to produce the Fraud Risk Management Guide (FRMG) to help organizations focus their anti-fraud efforts. The ACFE also created a website to host interactive tools to complement the FRMG and assist organizations in applying its principles.