Fact Based List:
CMS Fraud Prevention System Identified Savings from (First/Second) Year (millions)
This List Sponsored by HealthcareWebSummiton Mon, 07/21/2014
Learn about the intersection of data and linking analytics in fraud prevention- Amount denied by pre payment edits 11.5/16.8
- Billed amount denied by auto-denial edits 4.7/1.6
- Payment suspensions 1.6/2.3
- Amount of overpayments referred for recovery 4.4/35.6
- Value of law enforcement referrals 68.2/73.2
- Cost avoidance due to changes in behaviour 11.1/NA
- Cost avoidance from revoking provider billing privileges 13.9/81.2
- Total 115.4/210.7
Source: Centers for Medicare & Medicaid Services
Source URL: http://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-relea...
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