Tag: fraud prevention

BALTIMORE - CMS's Fraud Prevention System (FPS) prevented more than $210 million in improper Medicare payments in its second year of operations, more than double the previous year, according to a report sent to Congress today.The FPS, which uses predictive modeling and other analytics to analyze billing patterns, also resulted in CMS taking action against 938 providers.“CMS is using the best of private sector technology to move beyond the 'pay-and-chase' approach to protect the Medicare Trust...