The Centers for Medicare and Medicaid Services (CMS) announced that its Fraud Prevention System, a system that uses predictive analytics to identify potential fraud, prevented more than $210 million in improper Medicare payments over the last fiscal year–twice the amount the government saved in the program’s inaugural year. According to CMS’ report to Congress, using this advanced private sector technology, CMS was able to identify and take action against 938 health providers and suppliers. According to CMS, this system is part of a larger anti-fraud strategy that has led to $19.2 billion in fraud recoveries over the past five years.
Read the entire press release, “CMS Fraud Prevention System Identified or Prevented $210 Million in Improper Medicare Payments in 2nd Year of Operations”
Read CMS’ report to Congress, “Report to Congress, Fraud Prevention System, Second Implementation Year”