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Healthcare fraud schemes by organized crime networks' are underway today, flying under the radar of law enforcement. By examining the Mirzoyan-Terdjanian crime ring – an operation that eluded detection by federal payers and New York Insurance carriers for over 10 years – this paper explores how law enforcement or government agencies can proactively identify complex fraud schemes in their infancy using a multi-faceted, anti-fraud detection approach that combines sophisticated data integration with hybrid analytics.
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