September 19, 2021

Volume XI, Number 262

Advertisement

September 17, 2021

Subscribe to Latest Legal News and Analysis

September 16, 2021

Subscribe to Latest Legal News and Analysis

CMS Announces New Technology to Identify Medicare Fraud

The Centers for Medicare & Medicaid Services (CMS) announced today that it will begin using predictive modeling technology to identify and fight Medicare fraud.

Northrop Grumman, through a partnership with National Government Services and Federal Network Systems (a Verizon company), will develop the predictive modeling technology. The technology will use algorithms and an analytical process to look at CMS claims – by beneficiary, provider, service origin, or other patterns – in order to identify potential problems and assign “alerts” to problematic claims. CMS staff will conduct further review of alerts to prioritize claims and assess the need for investigation or enforcement actions.

CMS will begin using the new technology on July 1.

©2021 von Briesen & Roper, s.cNational Law Review, Volume I, Number 169
Advertisement
Advertisement
Advertisement
Advertisement
Advertisement
Advertisement

About this Author

von Briesen & Roper’s Health Law Section provides comprehensive legal services to the health care industry nationwide as both general counsel and special project counsel. Our clients include integrated delivery systems, academic medical centers, community hospitals, Catholic-sponsored hospitals, rural and critical access hospitals, imaging centers, physicians and multi-specialty clinics, specialty hospitals, ancillary suppliers, home health agencies, nursing homes, hospices, assisted living facilities, mental health and AODA facilities, DME suppliers, laboratories,...

414-287-1514
Advertisement
Advertisement
Advertisement