Editor in Chief, Dorland Health
CMS anti-fraud efforts go from pay-and-chase to prevention
New rules, tools and funds are allowing the CMS to find and prevent potential fraud instead of paying fraudulent claims and trying to recover funds later. "We're able to now verify whether a person was being treated by two different physicians in two different states on the same day or a variety of other possibilities," said Peter Budetti, who leads CMS anti-fraud efforts.
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