health care fraud

CMS Still Having Big Data Troubles

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Back in February, senators expressed dismay at a multi-million dollar anti-fraud computer system installed by the Centers for Medicare and Medicaid Services. CMS hoped to prevent fraudulent payments, reversing its standard mode of paying, discovering and chasing after money that wrongly went out the door.

In April, the Health Care Fraud Prevention and Enforcement Action Team, or HEAT, from Health and Human Services, made announcements in Chicago. The Attorney General and the HHS secretary highlighted their high-tech war against CMS fraud, and announced a slew of procedural and legal changes. But most of it focused on stronger fraud penalties, prosecutions, and suspensions or debarments of Medicaid contractors. Nothing was said of the $77 million system. Keep reading →

 /  Published June 11, 2012 at 12:04 PM

Medicare, Medicaid Implement Online Anti-Fraud Technology

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The Centers for Medicare & Medicaid Services (CMS) plans to further reduce health care fraud with the implementation of a two-factor identity credentialing system for individuals accessing their records online.

The system is also intended to safeguard users’ identities, supporting the National Institute of Standards and Technology’s (NIST) “National Strategy for Trusted Identities in Cyberspace.” The technology is compliant with NIST’s electronic authentication guidelines and the Affordable Health Care Act (ACA). Keep reading →

 /  Published March 15, 2012 at 1:30 PM