Wednesday, June 1, 2016

Big Data Tool Saves CMS $1.5B by Preventing Medicare Fraud - RevCycle Intelligence

Read the full article: Big Data Tool Saves CMS $1.5B by Preventing Medicare Fraud - RevCycle Intelligence:

"Using big data tools and predictive analytics, the Centers for Medicare and Medicaid Services (CMS) has saved approximately $1.5 billion by preventing Medicare fraud in the traditional fee-for-service program, according to the official CMS blog.

Since June 2011, CMS has employed the Fraud Prevention System, which is a predictive analytics tool that identifies fraudulent claims and illegitimate Medicare payments. The tool analyzes about 4.5 million Medicare pre-paid claims each day to pinpoint potential issues before providers are paid."

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