TITLE

CMS Gains Tool in Fight Against Fraud

PUB. DATE
November 2011
SOURCE
O&P Almanac;Nov2011, Vol. 60 Issue 11, p14
SOURCE TYPE
Periodical
DOC. TYPE
Article
ABSTRACT
The article reports that since July 1, 2011, Centers for Medicare & Medicaid Services has been using predictive modeling technology that can help them identify suspicious Medicare claims throughout the nation and stop them from making fraudulent payments.
ACCESSION #
67714594

 

Related Articles

  • RAC: A Program in Distress. Squire, Mary // Brigham Young University Law Review;2015, Vol. 2015 Issue 1, p219 

    The article offers information on the Recovery Audit Contractor (RAC) program aimed to identify and recover improper Medicare payments paid to healthcare providers under fee-for-service (FFS) Medicare plans in the U.S. Topics discussed include introduction of the Medicare Modernization Act of...

  • ICD-10 Crosswalks: Never Fear-New Diagnosis Crosswalks Are Here.  // Medicare Compliance & Reimbursement;1/27/2011, Vol. 37 Issue 2, p4 

    The article focuses on the attempt of the Centers for Medicare & Medicaid Services (CMS) to make the forthcoming ICD-10 conversion easier by posting new diagnosis coding crosswalks on its Web sites.

  • NPI required in January on Medicare fee-for-service claims.  // AHA News;10/15/2007, Vol. 43 Issue 21, p2 

    The article reports on the U.S. Centers for Medicare and Medicaid Services (CMS) requirement for hospitals and other providers to use a National Provider Identifier (NPI) when they bill Medicare administrative contractors and fiscal intermediaries beginning January 1, 2008. According to CMS,...

  • Medicare Makes Changes.  // O&P Business News;6/15/2005, Vol. 14 Issue 12, p51 

    The article reports on changes to Medicare claims processing and reimbursement policy announced by the U.S. Centers for Medicare & Medicaid Services (CMS) in the U.S. Under Change Request (CR) 3455, a twelve percent interest will be implemented for overpayments and underpayments. Group code for...

  • CMS says its hold is on fee processing as well as paying. McCarty, Mark // Medical Device Daily;7/2/2008, Vol. 12 Issue 127, p1 

    The article reports on the clarification made by Jeff Nelligan, spokesman for the U.S. Centers for Medicare & Medicaid Services (CMS), concerning the 13-day hold on reimbursement. Nelligan says that these refers only to the total elapsed time between submission of a claim and reimbursement and...

  • Industry Notes.  // Medicare Compliance & Reimbursement;2/21/2011, Vol. 37 Issue 5, p39 

    The article offers updates on the codes for the diseases and services covered in the Medicare Part B in the U.S. It reports on the medical tests that are waived by the Clinical Laboratory Improvement Amendments (CLIA) including whole blood mononucleosis cassette, rapid response fecal...

  • Your PS&R Clock May Be About To Run Out.  // Eli's Home Care Week;2011, Vol. 20 Issue 3, p22 

    The article offers information on several topics related to Medicare. According to consultant Tom Boyd of Boyd & Nicholas, Provider Statistical and Reimbursement (PS&R) System of Medicare (PS&R) has been used for filing cost report Medicare patient information. It mentions that health care...

  • Most Practices 'Surprised' By How All-Encompassing ICD-10 Transition Has Been.  // Medicare Compliance & Reimbursement;1/27/2011, Vol. 37 Issue 2, p3 

    The article focuses on the transition and the implementation of ICD-10 by the Centers for Medicare & Medicaid Services (CMS) which will take effect on October 1, 2013 in the U.S. It suggests to have the ICD-10 systems be up and running, for the continuous flow of claims before the effectivity of...

  • Congress stalls again on CMS action on DRGs.  // Medical Technology & Devices Week;8/13/2007, Vol. 5 Issue 33, p4 

    The article discusses the changes with the way the U.S. Centers for Medicare and Medicaid Services (CMS) pays hospitals under the inpatient prospective payment system (IPPS) which was put on hold by the U.S. Congress. CMS posted a statement in August 1, 2007 that the restructured...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics