Medicare Fraud Prevention: New Pilot Program with Algorithm
This act establishes a two-year pilot program within Medicare to detect fraud related to durable medical equipment and laboratory tests. The program will use an algorithm to assess transaction risks, and citizens can voluntarily participate, receiving notifications about suspicious transactions. This aims to protect public funds and prevent fraudulent practices.
Key points
Introduction of a two-year pilot program in Medicare to combat fraud.
Use of an algorithm to assess the risk of transactions involving medical equipment and laboratory tests.
Voluntary participation for Medicare beneficiaries who opt-in to receive electronic notifications.
Beneficiaries can confirm or correct suspicious transactions.
If a transaction is suspended, the beneficiary will receive automatic alerts and information on reporting fraud.
Introduced
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