Medicare Fraud

Artificial Intelligence Saved Over $260M in Fraud, Waste in 2019

February 4, 2020 - Highmark Inc.’s Financial Investigations and Provider Review (FIPR) department has leveraged artificial intelligence to generate over $260 million in savings associated with fraud, waste, and abuse in 2019, and has saved over $850 million in the last five years. The insurance organization is using advanced AI tools to detect indicators of...

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CMS Requests Comments on Effective Use of Artificial Intelligence

by Jessica Kent

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VA, CMS Announce Data Sharing, Fraud Prevention Partnership

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The Department of Veterans Affairs (VA) and CMS have announced a partnership to share data assets, data analytics tools, and best practices for preventing fraud, waste and abuse. “The VA-HHS...

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