North Carolina Plans to Find More Medicaid Fraud With Electronic Reviews

North Carolina expects to recover tens of millions dollars a year in fraudulent Medicaid claims by hiring a contractor to sift through electronic submissions rather than relying on reviews of paper claims, according to a report by Business Week.

Advertisement

The contractor will identify suspicious trends on claims for nearly 2 million Medicaid patients from 60,000 Medicaid providers in the state.

North Carolina is under increasing pressure to secure more savings as revenues stagnate and Medicaid spending is expected to be $250 million over budget this year.

Read Business Week’s report on North Carolina Medicaid fraud.

At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

Advertisement

Next Up in Uncategorized

Advertisement

Comments are closed.