New Analytics Model For Future Fraud And Abuse System

The Center for Medicare and Medicaid services is poised to take bigger steps in preventing

fraud and abuse by increasing its monitoring and analytics capabilities. CMS will conduct enrollment and medical claims analytics to keep frauds out of Medicare, for this some necessary technology is already deployed, while the other systems will be ready by the coming year.

Browse all: medical billing coding

CMS is using the latest technologies for a fraud prevention system to scrutinize Medicare claims. The prepayment review will be used as an investigative technique to follow leads and determine if there is any pattern of a problem. In the past, CMS had access only to post-payment claims information.

CMS will also conduct analyses of providers who enroll in its programs, assign risk levels to them and make its enrollment system more automated to accommodate new data, such as Social Security death files and loss of licensure. The automated provider enrollment screening, which will replace the more manual system, will be operational in January.

The scenario warrants providers to either build or outsource proven anti-fraudulent measures that can ensure them to surpass them through these new investigative techniques.

Medicalbillersandcoders.com (www.medicalbillersandcoders.com) the largest medical billing consortium and advisory for many insurance carriers has proven history of helping healthcare providers to understand and curb errors and fraudulent practices. With exposure in billing and coding across specialties and payers, and expertise in all billing issues related to the latest compliances and regulations, the consultancy services of MBC can assist in scrutinizing unintentional billing errors, and pro-actively minimize compliance exposure by healthcare providers.

About Medical Billers and Coders

Medical Billers and Coders is the largest consortium of Medical Billers and Coders in the United States. Our aim is to help the physician community to reach the right expertise in the right location at the right time.

Physicians usually prefer the technology and expertise of a large billing company and the customization and attention of a local Biller Medical Billers and Coders brings out the best in both the options and caters to the exact need of the physicians' billing requirement.

Browse all: healthcare medical billing, physician medical billing

by: Deepak Rupnar

POST COMMENT

Wholesale Magic Supplies - Magic Can Be Inexpensive Entertainment And Fun Role Of Gelling Agents In Drilling, Oil And Gas Industry Handle Shocks With Ease With Bump Stops And Dock Bumpers High Quality And Stylish Aldo Watches Speed Up Your Loading And Unloading Jobs With Portable Loading Ramps A Precocious And Methodical Planning To Deal With Compliance Issues In Healthcare Sector How To Create A Simple And Successful Employee On-boarding Program Women Stop Searching For Spa Vacations, Come At Aroma Spa Retreat In Bali And Make Your Body And Lif Goa Beaches Unlimited Sun, Sand, Sea And Fun Top Quality Branded Shoes And Women Footwear How To Know The Difference Between Intention And Attention? What Is The Procedure To Fill And Submit Application Form Online Ways To Stop Repossession And A Lifetime Of Poverty