From: California Healthline
The Small Business Lending Act, which President Obama signed into law on Monday, includes an anti-fraud provision that soon will require Medicare to do more to prevent fraud, the Miami Herald reports.
CMS’ out-of-date billing system has facilitated more than $60 billion in Medicare fraud annually, according to the Herald.
Under the new provision, CMS will be required to stop its 45-year policy of approving claims quickly without first verifying them.
New Software
By next year, CMS must implement new billing software with “predictive modeling,” a type of analytical technology that already has been adopted in the credit card industry to identify potentially fraudulent bills.