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CMS and VA Team Up to Prevent Fraud

Posted in Fraud and Abuse, Legislation and Public Policy, Medicare and Medicaid, Reimbursement Matters

On January 23, the Centers for Medicare & Medicaid Services (CMS) and U.S. Department of Veterans Affairs (VA) announced that they will share data, data analytics tools and best practices to combat fraud, waste and abuse. CMS and the VA are the U.S.’s two largest healthcare payors. The unusual alliance reflects the VA’s desire to identify “new and innovative ways to seek out fraud, waste and abuse,” according to VA Secretary Dr. David J. Shulkin. CMS, which already uses advanced analytics for fraud detection and prevention, estimates that its Center for Program Integrity’s activities saved Medicare operations $17 billion in fiscal 2015.

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