Medical economics

New AI technique significantly boosts Medicare fraud detection

Medicare is sporadically compromised by fraudulent insurance claims. These illicit activities often go undetected, allowing full-time criminals and unscrupulous health providers to exploit weaknesses in the system. Last year, ...

Medical economics

Researchers teach 'machines' to detect Medicare fraud

Using a highly sophisticated form of pattern matching, researchers from Florida Atlantic University's College of Engineering and Computer Science are teaching "machines" to detect Medicare fraud. Medicare, the primary health ...

Health

Feds announce nationwide health care fraud sweeps

Health care fraud sweeps across the country have led to charges against 243 people, including doctors, nurses and pharmacy owners accused of bilking Medicare and Medicaid, the government announced Thursday.

Health

New Medicare fraud detection system saves $115 mil

A highly touted new system designed to stop fraudulent Medicare payments before they are paid has saved about $115 million and spurred more than 500 investigations since it was launched in 2011.

Health

Feds charge 91 people in $429M Medicare fraud

(AP)—A federal strike force has charged 91 people, including doctors and nurses, in seven cities with Medicare fraud schemes involving $429 million in false billings.

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