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CMS uses data to thwart $820M in fraud

July 14, 2015HME News Staff

WASHINGTON - CMS's Fraud Prevention System has identified and prevented $820 million in inappropriate payments in three years of use, the agency announced today. In 2014 alone, the system identified or prevented $454 million in inappropriate payments, a 10 to 1 return on investment, it says. “We are proving that in a modern health care system you can both fight fraud and avoid creating hassles for the vast majority of physicians who simply want to get paid for services rendered,” said...

Fraud, Predictive analytics

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