Predictive Modeling: ZPICs Using Data Mining to Identify Medicare Fraud

(April 15, 2011): Over the last decade, the Centers for Medicare and Medicaid Services (CMS) and its contractors (Zone Program Integrity Contractors (ZPICs), Program Safeguard Contractors (PSCs) and Recovery Audit Contractors (RACs)), have steadily assembled an extensive database of the coding and billing practices of Medicare providers around the country. Analyzing this data, contractors have […]

Predictive Modeling: ZPICs Using Data Mining to Identify Medicare Fraud Read More »