The Centers for Medicare and Medicaid Services (CMS) need to more fully align its antifraud efforts with the Government Accountability Office’s (GAO) Fraud Risk Framework, GAO auditors said in a report released Dec. 5. CMS’s anti-fraud programs currently align only partially with the risk framework, GAO’s investigation revealed. […]

If Federal agencies invest upfront in technologies to track fraud and improper payments, the government could end up saving enough money to pay back some of the national debt or stave off sequestration, according to Rep. Gerry Connolly, D-Va.






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Attorney General Loretta E. Lynch and Department of Health and Human Services (HHS) Secretary Sylvia Mathews Burwell this week announced an anti-fraud task force led by the Justice and Health and Human Services Departments executed the largest takedown of health care fraud in U.S. history, charging 301 individuals in 36 Federal districts for health care schemes equaling $900 million.






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Federal agencies and other organizations are increasingly relying on analytics to detect and stop fraud, but experts recommend they start with small projects and small data sets to pinpoint risk. Learn how the U.S. Postal Service, World Bank, General Services Administration, and IBM approach the use of big data analytics to prevent fraud in government. […] […]