12 states sign on for Medicare fraud prevention
- By Dibya Sarkar
- Sep 04, 2000
A California-based information technology company was recently awarded a
5-year, $26.8 million contract to safeguard the Medicare program in several
As the new Western Integrity Center Program Safeguard Contractor, Computer
Sciences Corp. will monitor services in 12 states, including Alaska, Arizona,
Colorado, Hawaii, Iowa, Minnesota, Nevada, North Dakota, Oregon, South Dakota,
Washington and Wyoming.
According to CSC officials, integrity services will entail the detection
of possible "mispayments and potential fraudulent activities." CSC will
work with the Health Care Financing Administration, the federal agency that
administers Medicare, to "identify any billing practices [that] may need
intervention" by using data analysis tools and reviewing medical claims.
Earlier this year, CSC signed a 6-year, $351 million contract with the
New York State Department of Health to create a new system to process and
report Medicaid claims.
Medicare is the nation's largest health insurance program. It covers
39 million Americans — mainly people 65 years old and older, some people
under 65 who have disabilities, and people with permanent kidney failure
being treated with dialysis or transplants.