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How a Hybrid Anti-Fraud Approach Could Have Saved a Federal Health Agency More than $100 Million

A case study of the Mirzoyan-Terdjanian organized crime ring

About this paper

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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SAS is the leader in analytics. Through innovative analytics, business intelligence and data management software and services, SAS helps customers at more than 83,000 sites make better decisions faster. Since 1976, SAS has been giving customers around the world THE POWER TO KNOW®.

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