Healthcare Fraud Prevention

AI, Technology Key to Reducing Medicare Fraud and Waste, CMS Says | RevCycle Intelligence | 10/23/2019

… innovations and data from the private sector and use new technology like artificial intelligence and machine learning to develop quicker, more effective workflows for identifying fraud, particularly before it occurs. For example, through the Healthcare Fraud Prevention Partnership, a private-public partnership dedicated to reducing healthcare fraud, waste, and abuse, CMS is using data from private payers, employers, state and local agencies, and other members to share information and conduct …

CMS Considers AI and Value-Based Care Fraud Prevention Strategies | HealthPayer Intelligence | 10/23/2019

… to fraud. The administrator gave a couple of examples, including enhancing the address validation process when sending out Medicare cards, a new process which Administrator Verma estimates saved billions. She also pointed to the Healthcare Fraud Prevention Partnership (HFPP), a voluntary collaboration between the public and private entities including private health insurance plans, employer organizations, and state agencies, numbering 144 members in total. Third, CMS will protect against risks that …

(USA-TX-TX) Data Analyst - Fraud - Remote | 5/15/2019

… skills and build your career in a dynamic industry while making a difference in the lives of others. We are seeking a talented individual for a Data Fraud Analyst who manages the flow of Healthcare Fraud Prevention Partnership (HFPP) Partner data between HMS and the HFPP’s Trusted Third Party (TTP). Assists in onboarding and maintaining new data sources including conducting regular quality reviews of data loaded into the TTP Portal …

NHCAA Elects 2018 Board Chair | PR Newswire | 11/14/2017

… to serving on the NHCAA Board for the last four years, other anti-fraud leadership roles held by Popik include serving as Co-Chair for the Data Analysis and Review Committee (DARC) of the Healthcare Fraud Prevention Partnership (HFPP), Chair of the Medical Identity Fraud Alliance (MIFA), Chair of the Fraud, Waste and Abuse Governance Committee for Florida Blue , and Chair of the BlueCross BlueShield National Anti-Fraud Advisory Board …

NHCAA Elects 2018 Board Chair | PR Newswire | 11/14/2017

… to serving on the NHCAA Board for the last four years, other anti-fraud leadership roles held by Popik include serving as Co-Chair for the Data Analysis and Review Committee (DARC) of the Healthcare Fraud Prevention Partnership (HFPP), Chair of the Medical Identity Fraud Alliance (MIFA), Chair of the Fraud, Waste and Abuse Governance Committee for Florida Blue , and Chair of the BlueCross BlueShield National Anti-Fraud Advisory Board …