Data mining, which uses statistical models and intelligent technologies to pinpoint suspicious patterns, has contributed to $355 million in court-ordered restitutions, fines and penalties and convictions for Medicaid fraud since 2007.
A proposed rule about the change, published in the March 17 Federal Register, asks for public comment through May 16.
Read the Government Health IT report on data mining for Medicaid fraud.
Read the proposed rule in the Federal Register.
http://www.gpo.gov/fdsys/pkg/FR-2011-03-17/html/2011-6012.htm
Read more coverage of data mining.
– Physicians, Data Mining Companies Battle in Lawsuit Over Prescription Confidentiality
– 9 Ways to Reorganize the Hospital to Deal With RACs
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