Tag: Predictive analytics
CMS uses data to thwart $820M in fraud
July 14, 2015HME News Staff
WASHINGTON - CMS's Fraud Prevention System has identified and prevented $820 million in inappropriate payments in three years of use, the agency announced today. In 2014 alone, the system identified or prevented $454 million in inappropriate payments, a 10 to 1 return on investment, it says. “We are proving that in a modern health care system you can both fight fraud and avoid creating hassles for the vast majority of physicians who simply want to get paid for services rendered,” said...