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The Department of Justice has charged 24 defendants, including executives with five telehealth vendors, in one of the largest healthcare fraud schemes investigated by the FBI and HHS Office of the Inspector General.April 10
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Agency’s expertise in identifying Medicare fraud will be shared to support veterans.January 24
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Auditors say CMS does not have complete data to make effective determinations about which predictive models should be continued, adjusted or retired.October 4
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Combining public and private data and leveraging analytics aids fraud detection, says Daniel Levinson.May 2
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Ongoing review of applications emphasize developers’ accountability, says Steven Stack, MD.October 19
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Start date for transition is only 18 months away, but little info available, says Crystal Ewing.October 5
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Advanced analytics, enforcement agencies aid prevention of erroneous payments.July 26
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Providers increasingly will need the right data, easily accessible and organized, to accurately describe patient complexity, and get the right payment for services.July 20Executive vice president of consultingAdvisory Board
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The Smart Card Alliance suggests there’s convergence between credit and healthcare uses.February 26