Showing posts with label payment. Show all posts
Showing posts with label payment. Show all posts

Tuesday, June 6, 2017

Medicare: Fix Payment Methodologies That Put Senior Care at Risk - Morning Consult

Read the full opinion: Medicare: Fix Payment Methodologies That Put Senior Care at Risk - Morning Consult:

"But if chronic cuts, under reimbursement, and failure to apply appropriate funding methodologies continue, rather than receive services at home, patients will certainly be forced to a hospital or other institutional settings — resulting in significantly higher costs to Medicare and counteracting the program’s current goals of improving value and reducing hospitalizations."

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Wednesday, June 1, 2016

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

Updated February 2, 2026

The original link broke.

You can still read about the same topic here:

‘Big data’ effort saves $1.5B in Medicare fraud - Healthcare Dive:
https://www.healthcaredive.com/news/big-data-effort-saves-15b-in-medicare-fraud/419996/

--   the original post follows below  ---

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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