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Medicare Compliance & Reimbursement

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FPS 'Big Data' Can Spot Fraudulent Medicare Claims

Published on Mon Jun 20, 2016

Predictive analytics spot over-billing and more, leading to revocation. With crystal ball-like abilities, the Centers for Medicare & Medicaid Services (CMS) is catching improper payments before it even sends them to you. Here are a few of the cases that the Fraud Prevention System (FPS) has identified: Services not rendered: The FPS’s “big data” and predictive analytics identified a Florida [...]
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