Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Healthcare Fraud

HFPP Provides New Resource for Payers to Combat Opioid Abuse

March 21, 2017 - A new 64-page report from the Healthcare Fraud Prevention Partnership (HFPP), a public-private partnership which includes CMS, gives payers resources that treat, educate, and develop improvements for combating opioid harm to patients. CMS has worked to develop other resources that combat opioid abuse. These include publicly available patient-centered strategies and maps and datasets that show...


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GAO: Erroneous Medicaid Claims Data Pose Fraud Risk at CMS

by Thomas Beaton

Millions of people rely on long-term personal care services under Medicaid coverage, but significant gaps and errors in two major CMS data systems are creating significant opportunities for fraud and abuse.   A new report from the Government...

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