Medicare beefs up fraud detection technology

The Centers for Medicare and Medicare services are about to deploy some of the same technology tools credit card companies use to spot fraud. A new system going into effect on the first of July is designed to automatically flag Medicare claims that might be fraudulent, by scanning through information about the beneficiary, the provider, the type of service and other patterns. Staff will then be able to investigate claims the system flags as high risk. By some estimates, health care fraud costs the government up to 60 billion dollars a year.

Copyright © 2024 Federal News Network. All rights reserved. This website is not intended for users located within the European Economic Area.