#medicare-fraud

[ follow ]
Healthcare
fromTheregister
2 days ago

Uncle Sam wants AI models that can detect healthcare fraud

CMS is soliciting explainable AI models to detect, explain, and help address anomalous patterns in Medicare claims indicative of potential fraud.
fromNextgov.com
3 days ago

CMS launches 'chili cook-off competition' to source AI that can detect fraud

CMS announced the start of the "Crushing Fraud Chili Cook-Off Competition" on Aug. 19, calling it "a market-based research challenge" to identify emerging technologies that can "detect anomalies and trends in Medicare Fee-for-Service (FFS) claims data that can be translated into novel indicators of fraud." The agency said it is "prioritizing the use of innovative, data-driven approaches, including explainable AI/ML" that can analyze large datasets to "uncover unusual patterns, anomalies, or trends that may signal fraudulent activity."
Healthcare
fromThe Mercury News
1 month ago

3 Bay Area residents charged in massive nationwide health fraud crackdown

A Vacaville nurse was arrested in a nationwide health care fraud takedown involving over $14.6 billion in fraudulent claims.
US news
fromCbsnews
1 month ago

Feds announce massive takedown of Medicare fraud suspects in "Operation Gold Rush"

The federal government halted a major Medicare fraud scheme, preventing billions in fraudulent claims through Operation Gold Rush.
frombrooklyneagle.com
1 month ago

Eleven charged in major Medicare fraud bust, including Brooklyn owner

A massive Medicare fraud scheme involving over $10 billion in false claims has been uncovered, leading to charges against 11 individuals.
#healthcare
more#healthcare
Public health
fromDatabreaches
2 months ago

CMS warns Medicare providers of fraud scheme

Healthcare providers warned about new fraud involving fake faxed requests for medical records.
Scammers impersonate CMS in their attempts to collect sensitive patient information.
fromwww.theguardian.com
2 months ago

US charges 11 people in Russia-based scheme to bilk Medicare of $10bn

A transnational criminal organization defrauded Medicare of $10.6 billion using fraudulent medical billing schemes.
fromMiami Herald
2 months ago

Kendall companies and doctors pay $810,000 to settle Medicare fraud charges

The settlement, reaching over $810,000, resolves allegations of Medicare fraud against a Kendall radiology center and its associated physicians.
Miami food
#unitedhealth-group
fromMedCity News
2 months ago
Healthcare

Analysis: The No Good, Very Bad Year for UnitedHealth - MedCity News

UnitedHealth Group faces significant challenges due to stock drop, CEO transition, and a Medicare fraud investigation.
fromFast Company
3 months ago
US news

UnitedHealth Group stock price nears 5-year low as bad news piles up for the health insurance giant

UnitedHealth is facing a major stock decline due to a reported criminal investigation and the resignation of its CEO.
more#unitedhealth-group
[ Load more ]