Article Side

Online Article Directory!

Hello Guest! Login or Register to submit articles!

New analytics model for future Fraud and abuse system

By Jacob Thomas Subscribe to RSS | November 25th 2011 | Views:
loading
 
  



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

Jacob Thomas - About Author:
Medicalbillersandcoders.com is the largest consortium of Medical Billers and Coders in the United States. We offer Medical Billing, healthcare medical billing, physician medical billing

Share on Facebook Tweet It Stumbleupon this post This post is delicious !

Article Source:
http://www.articleside.com/business-articles/new-analytics-model-for-future-fraud-and-abuse-system.htm

Related Business Articles Subscribe to RSS

Need for medical contract manufacturing
Published by Ema Sis on March 24th 2012 | Business
The medical device contract manufacturing for the most part offers along with the assembly of highly...
 
HIPAA compliant medical billing and coding for the healthcare industry
Published by Outsource Strategies International on June 7th 2012 | Business
HIPAA compliant medical billing and coding enable healthcare firms to submit insurance claims prompt...
 
Use internet for buying medical supplies online
Published by Chooseems on July 6th 2012 | Business
You need to be extra careful while shopping on the internet. When it is about buying medication, the...
 
Capital Aesthetic Methods by way of medical Loans
Published by John Schubert on August 17th 2012 | Business
A typical challenge that requires medical loans could be the occurrence of an emergency and yet you ...
 
Being aware of the Sorts of medical Loans
Published by John Schubert on August 17th 2012 | Business
The charges of medical procedures and therapies can add up easily to thousands of dollars. When you ...
 
The many medical device distribution programming back European union
Published by Caedmon Scott on May 25th 2012 | Business
Absolutely new Euro directives is discussed completely for any selling and additionally passing them...
 
Enhancing medical device regulations - Facing this implies to get a industrial sectors?
Published by Gerald Keith on May 31st 2012 | Business
Exactly so are we on course with the healthcare industry ski they medical device regulations on hand...
 
Medical billing service: Secret behind health care institutes’ top level service
Published by Activemds on April 17th 2012 | Business
Around the world, medical and health care service of United States is appreciated for its quick and ...
 
Zadroga claim helps to provide medical and financial support to victims
Published by Jennifer Weinstein on December 19th 2011 | Business
The Zadroga Claim provides financial aid to the victim which helps them to fight the health problem ...
 
Averting common operational & legal pitfalls at your medical practice
Published by Deepak Rupnar on June 5th 2012 | Business
Medical practice and legal issues have long been inseparable. History is full of examples wherein pr...
 
Medical billing classes include introduction to the procedure of medical billing
Published by Medicalbill12 on February 3rd 2012 | Business

The development of Medical billing classes is an outcome of the growth of the healthcare industr...
 
HIPAA compliant physician billing services for gastroenterologists
Published by Outsource Strategies International on March 5th 2012 | Business
Medical billing companies provide all healthcare specialists, including gastroenterologists, efficie...
 
The best courier service is provided by us including medical delivery
Published by Coloprilreview on December 1st 2011 | Business
Most of the delivery services comprise of Cargo Management, shipping, Cargo Express Movement & Wareh...
 
Dermatologists’ Shortage in the US – a medical billing perspective
Published by Jacob Thomas on December 5th 2011 | Business
Contrary to mounting demand, US healthcare industry continues to be plagued by shortage of dermatolo...
 
Medical Loans for All Forms of medical Therapies and Procedures
Published by John Schubert on August 17th 2012 | Business
It has been mentioned time and time yet again that health is wealth and men and women are willing to...
 
Discount medical supply store in your city
Published by Chooseems on July 6th 2012 | Business
You need to be extra careful while shopping on the internet. When it is about buying medication, the...
 
Home medical equipment monitors your every health problem
Published by Chooseems on June 19th 2012 | Business
Purchasing home medical equipments offers surplus vantages that can never compared with any other. I...
 
Get best medical facilities with the help of James Zadroga Act
Published by Jennifer Weinstein on January 20th 2012 | Business
There are exceptionally skilled lawyers available in United States who have vast knowledge about the...
 
Which were i would say the top medical device companies? and furthermore go about doing their specific be taken bracelets problem?
Published by Ryan Roger on May 30th 2012 | Business
Trading wants a wide range of plans and in addition association. This may equal more true designed f...
 
Techniques for medical equipment manufacturers Through Supercharge your provide you with company lately!
Published by Samuel Willie on May 29th 2012 | Business
Advancing produce thread control might be a section of concern through a large amount of insurance c...