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by 127001brewer 2746 days ago
It's been years since I have worked in this space, but, at the time, my group was charged with finding fraud committed by the providers and beneficiaries.

It was interesting work: we had data tapes shipped from CMS to us, we loaded the data into a Sybase database, and then used an analysis tool (which I can't recall the name of) to look for patterns of fraud - again, this was what now seems like a lifetime ago.

Is anyone currently working detecting Medicare and Medicaid fraud?

1 comments

One of the interesting things I there while there was develop a Java app and Python script to semi-automate the loading of tapes. ​ ​Previously, a person had to load a few tapes into a magazine, place it into a machine, and manually load each tape - they had to sit in a secure room, wait for a tape to be loaded, and press a button to for the machine to load the next tape! ​ ​Since this tape machine was old, there wasn't a lot of documentation, but I did find enough information to develop a script that loaded each tape, placed the data in the correct directory based on the tape's header information, and then emailed the data team once all the tapes in the magazine were loaded. It freed up that person to do meaningful work while the data tapes were being loaded.