Sunday, June 19, 2011

Technology to assess claims' risk of Medicare fraud | The Augusta Chronicle

Technology to assess claims; risk of Medicare fraud | The Augusta Chronicle

Strange it took so long,

After creating a system similar to one already used by credit card companies to spot fraud, the federal government plans to crack down on phony Medicare payments before they are even paid.

The Centers for Medicare & Medicaid announced it has hired Northrop Grumman to create "predictive modeling technology" that can look at many aspects of a claim to see whether it appears legitimate, said the centers' administrator, Donald Berwick. The system would assign a risk score to claims, marking those that need closer scrutiny