Predictive Modeling

CMS is two weeks late issuing report on fraud prevention efforts

CMS is two weeks late issuing report on fraud prevention efforts

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Two Republican Senators want to know why the Centers for Medicare & Medicaid Services is two weeks overdue in issuing a report on the agency's fraud prevention system (FPS).

Frequent testing of risk models strengthens Medicare fraud prevention systems, official says

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Increasingly sophisticated fraud prevention systems are allowing the federal government to zero in on suspect billing in long-term care facilities, an official said Tuesday.