Network Analysis: New Insights into Healthcare Fraud Detection

Network analysis is visualizing and evaluating relationships and flows between people, groups, organizations, infrastructure, IT systems, biological systems and other connected entities. It helps to create simple, yet powerful tools and models for understanding the behavior of complex and interconnected data.

Whether investigating social networks, terrorist networks, detecting fraud or spotting hidden trends in data, network analysis is key to provide insight in a world of complexity. While there are a variety of quantitative techniques available in the marketplace, none integrate FTI Consulting’s cutting edge technology and experience to provide clients with hindsight, insight and foresight. Unlike static analytics, network analysis measures the relationship between interconnected groups and isolates the connectors and leaders in a group.

Our Network Analysis team can assist outside counsel, insurance providers and payers, and human resources managers (among others) to prevent and/or detect red flags in their business practices.

Our Network Analysis service offerings include:

• Data Analytics
• Visualization
• Social Network Analysis
• Fraud Detection
• Insurance Claims Analysis
• Financial Markets
• Healthcare Litigation & Audits
• Labor & Employment Litigation/Compliance
• Statistical Sampling
• Class Certification