Zdrowie i gospodarka · 17/03/2011

HHS Proposes Rule to Allow Medicaid Fraud Control Units to Use Data Mining with Federal Matching Funds

The US Department of Health and Human Services (HHS) has proposed a rule that would permit State Medicaid Fraud Control Units (MFCUs) to use Federal matching funds to identify Medicaid provider fraud through data mining, a process that involves screening and analyzing Medicaid claims data. The proposed rule aims to modernize MFCUs' efforts to effectively pursue Medicaid provider fraud.