A $77 million computer system launched last summer to detect Medicare fraud before it happens found only one suspicious payment — totaling $7,591 — by the end of December.
Another suspicious payment officials should have caught was the $77 million bill for an ineffective fraud-detection system. Commercial insurers have used this technology for years. When CMS began discussing this initiative, one of the commercial insures who processes Medicare claims said they use the technology on their own claims but have never been asked by CMS to employ the technology on Medicare claims. In fact, there are probably regulations against arbitrarily refusing to pay a suspect claim until there is evidence of wrongdoing.
Wonder how the people in the insurance fraud scheme got caught. It said they recieved over a half million dollars and it happened in 2008. Actually, I wonder how that was explained to begin with.
Chopping off a hand? Get serious.
That 77M computer system could be a forerunner to pre-crime technology.
We’ll, it’s a good thing they didn’t chop off a leg, otherwise they wouldn’t have a legal leg to stand on.
Another suspicious payment officials should have caught was the $77 million bill for an ineffective fraud-detection system. Commercial insurers have used this technology for years. When CMS began discussing this initiative, one of the commercial insures who processes Medicare claims said they use the technology on their own claims but have never been asked by CMS to employ the technology on Medicare claims. In fact, there are probably regulations against arbitrarily refusing to pay a suspect claim until there is evidence of wrongdoing.
Nice to know we can stop worrying about Medicare fraud.
Wonder how the people in the insurance fraud scheme got caught. It said they recieved over a half million dollars and it happened in 2008. Actually, I wonder how that was explained to begin with.