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GAO recommends overhauling 2 CMS systems to reduce fraud risk

NHCAA SmartBrief | Feb 22, 2017

A GAO report recommends overhauling the CMS's two reporting systems, the Medicaid Statistical Information System and the Medicaid Budget and Expenditure System, to help reduce the risk of fraudulent claims, as well as improve provider tracking and oversight. The report notes that only 35 states reported claims in 2012, when over $4.9 billion worth of misidentified Medicaid claims were found, with 20% of the submitted claims missing payment amounts. Health Payer Intelligence (02/21)


N.M. cardiologist pleads guilty to defrauding Medicare

NHCAA SmartBrief | Feb 20, 2017

Fla. counselor admits to role in sober home, drug fraud

NHCAA SmartBrief | Feb 23, 2017

Conn. physician sentenced for illegal prescribing

NHCAA SmartBrief | Feb 21, 2017

Mich. doctor accused of illegal drug possession

NHCAA SmartBrief | Feb 21, 2017

2 Ala. physicians convicted of fraud in pill mill case

NHCAA SmartBrief | Feb 24, 2017

Pa. physician pleads guilty to $5M to improper prescription

NHCAA SmartBrief | Feb 23, 2017

Owner of Fla. special needs school suspected in $4.6M Medicaid fraud

NHCAA SmartBrief | Feb 20, 2017

Republicans outline ACA replacement

NHCAA SmartBrief | Feb 20, 2017

Texas medical supply firm owner gets 27 years for fraud

NHCAA SmartBrief | Feb 24, 2017


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Health care anti-fraud reference materials available

NHCAA SmartBrief | Feb 24, 2017

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NHCAA SmartBrief | Feb 24, 2017

2017 NETS Webinars

NHCAA SmartBrief | Feb 23, 2017

Health care anti-fraud career opportunities

NHCAA SmartBrief | Feb 23, 2017

Hone investigative skills at our 4-day anti-fraud boot camp

NHCAA SmartBrief | Feb 22, 2017




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