CMS Pushes Effort to Curb Medicare Fraud

CMS wants stakeholder input on how best to combat waste, fraud, and abuse in Medicare  The Centers for Medicare & Medicaid Services (CMS) is launching a new five-part campaign to deter and punish waste, fraud, and abuse in the Medicare program, CMS Administrator Seema Verma wrote in a blog post earlier this week. “Medicare’s transformation…

Using Machines to Detect Medicare Fraud

In a development that could have significant impact across the health care spectrum, researchers at Florida Atlantic University are using a form of advanced pattern matching to teach “machines” to detect Medicare fraud, according to a new study in Health Information Science and Systems. Currently, human beings investigate and audit Medicare claims to find certain…

Key House Panel Takes Aim at Medicare Fraud

Declaring there is “too much” fraud in Medicare payments, members of a key House of Representatives subcommittee vowed to attack the problem and called witnesses to suggest various means of doing so. On Tuesday, July 17th, the Oversight Subcommittee of the House of Representatives Ways and Means Committee held a hearing titled, Combating Fraud in…