The big data tools used by the Centers for Medicare and Medicaid Services, or CMS, to fight Medicare fraud have saved the taxpayer over $1.5 billion over the past five years, CMS officials are claiming.
These big data and predictive analytics tools are part of the Fraud Prevention System CMS began using five years ago to prevent fraud, waste and abuse in the Medicare fee-for-service program.
“The Fraud Prevention System’s ‘big data’ effort has had a profound impact on fraudulent providers and illegitimate payments by allowing us to quickly identify issues and take action,” said CMS officials Shantanu Agrawal, Raymond Wedgeworth and Kelly Bowman in a blog post.
