IT key to fighting Medicare, Medicaid fraud

The Department of Health and Human Services bolstered its case for spending on health IT projects with a pair of reports which argue that a national health information network and a system of electronic health records could save taxpayers between $51 million and $181 million by preventing fraud. The first report, commissioned by the office of Health IT coordinator Dr. David Brailer, notes that automated coding software could help fight fraud significantly. The second argues that HIT applications should be refined to cut back on abuse in Medicare and Medicaid programs.

It's been clear that technology can help control healthcare costs for a long time, of course. Readers will recall that a pair of New York Times reporters armed with little more than a laptop were able to detect the billion-dollar fraud in New York's Medicaid program.

- see this report on HIT as an anti-fraud tool (pdf)
- see this report on potential anti-fraud uses of automated coding software (pdf)

Suggested Articles

The profit margins and management of Community Health Group raise questions about oversight of managed care insurers.

Financial experts are warning practices about the pitfalls of promoting medical credit cards to their patients.

A proposed rule issued by HHS on Tuesday would expand short-term coverage, a move Seema Verma said will have "virtually no impact" on ACA premiums.