Monday, December 23, 2024

POLITICO: OIG says CMS could go farther in looking at which Fraud Prevention System models work best

“In the first hearing, on Medicare fraud, witnesses told the Oversight subcommittee that CMS needs to do better on anti-fraud data analytics…”

“By the agency’s calculations, it’s done well… But witnesses from OIG and the Government Accountability Office say CMS could go farther. An OIG official said that the CMS lacks the ability to attribute savings to specific Fraud Prevention System models. (The anti-fraud data analytics each have slightly different strategies, so it might be useful to figure out which models perform best.)…” Read the full article here.

Source: Data analytics urged to improve – By Darius Tahir, July 18, 2018. POLITICO Morning eHealth.

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Jackie Gilbert
Jackie Gilbert
Jackie Gilbert is a Content Analyst for FedHealthIT and Author of 'Anything but COVID-19' on the Daily Take Newsletter for G2Xchange Health and FedCiv.

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