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Home Health & Hospice Week

Industry Notes:

Government Ramps Up Predictive Modeling To Fight Fraud

Published on Mon Jan 03, 2011

Legit providers hope they don't get swept up in the analytical dragnet. The government's stepped-up efforts in the fraud and abuse arena are bearing fruit, but innocent providers hope it isn't at their expense. "This has been a remarkable year for cracking down on health care fraud," says Health and Human Services Secretary Kathleen Sebelius in a statement released at the 4th regional healthcare fraud prevention summit held in Boston Dec. 16. "Thanks to the new tools and resources provided under the Affordable Care Act, we are more effective at going after the fraudsters that are stealing taxpayer dollars." Massachusetts alone has recovered more than $4 billion in civil and criminal healthcare fraud settlements over the past two years, notes Attorney General Eric Holder in the release. "We have taken our fight against health care fraud to a new level, and I am committed to continued collaboration, vigilance, and progress." [...]
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