CMS Using Technology to Crack Down on Fraud and Abuse

CMS announced on Friday that they are abandoning their current "pay and chase" fraud recovery system in favor of new technology that can help identify potentially fraudulent claims before they are paid.

The new system, which goes into effect July 1, utilizes predictive modeling technolgy used by credit card companies to spot fraudulent activity. The new process will analyze CMS claims by beneficiary, provider, service origin or other patterns to identify and sent alerts of potential problems.

To learn more, click here.