Tag Archives: medicare fraud

“Big Data” Tools Saved Medicare $1.5 Billion

CMS implemented a Fraud Prevention System (FPS) using “big data” and predictive analytics approaches to fight fraud, waste and abuse in the Medicare fee-for-service program, five years ago. Since inception, FPS has saved Medicare over $1.5 billion in inappropriate payments … Continue reading

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BREAKING NEWS: CMS awards $91 million contract for fraud detection

CMS awarded defense contractor Northrop Grumman a $91 million contract to develop and implement a second generation advanced analytics system, called the Fraud Prevention System2 (PFS2), to help identify so-called “high-risk” claims in Medicaid and Medicare. Continue reading

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