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CMS targets fraud with new analytics

WASHINGTON – The Centers for Medicare and Medicaid Services intends to take a bigger bite out of fraud and abuse by strengthening its monitoring and analytics capabilities to prevent and detect suspicious activities.

CMS will conduct enrollment and medical claims analytics using cutting-edge methods to keep the bad actors out of Medicare, share that information with Medicaid and prevent the payment of fraudulent claims instead of chasing it down afterwards, said Peter Budetti, MD, CMS deputy administrator for program integrity. 
 Read full article here courtesy of Healthcare IT News.


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