Archives for Forensus Sampling Framework

Overview of Statistical Sampling and Extrapolation | Forensus’ Framework

Statistical sampling analysis is most commonly used when one seeks to infer useful information about a relatively large population without examining every unit in the population by examining only a subset of that population (i.e. a sample).  As part of sampling analysis, estimation or extrapolation is a procedure by which measured characteristics of a sample yield estimates, inferentially, about unknown characteristics of the population from which the sample was drawn …

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Using a Probe Sample for Healthcare Audits and CIA Claims Reviews

Statistical sampling is routinely used in audits and investigations when seeking to reach conclusions about large volumes of data.  A probe sample can be a key tool in increasing the efficiency and reducing the cost of statistical sampling analysis.  A probe sample can also be helpful in identifying risk and quickly evaluating whether a full statistical sampling is required. 

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Extrapolating Liability in FCA Cases | Decisions of Medical Necessity

There is considerable hesitancy in the healthcare industry to rely on statistical sampling for questions deemed subjective in nature, or when the sampling units in a population might be considered too unique.  This generally manifests when attempting to extrapolate liability in litigation, particularly in FCA matters.  For instance, conclusions about a patient’s medical eligibility and/or the medical necessity for hospice care have been disputed in recent years when sampling analysis was the basis for such conclusions.

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