Physician Practice

CMS fraud detection system puts stop to $820M in improper Medicare payments in first 3 years

Physician Practice Insider, July 28, 2015

CMS announced July 14 that its advanced analytics system, the Fraud Prevention System, identified or prevented $820 million in inappropriate payments in the program’s first three years. The system uses predictive analytics to identify troublesome billing patterns and outlier claims for action, similar to systems used by credit card companies.
 
View the press release.
View the report.
 
This article originally appeared in Medicare Insider.

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