Twin Pillar Strategy to Prevent and Detect Fraud in the Federal Health Care Programs

Center for Medicare and Medicaid Services (CMS) directly manages Medicare by way of contracts with private companies that process claims for Medicare Advantage. While Medicaid is managed by the States within the limits of Federal law and regulations and CMS works with each State … Continue reading

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Integrated Data Repository (IDR) promotes enhanced data integration

Center for Medicare and Medicaid Services (CMS) has made significant development in constructing the Integrated Data Repository (IDR) to facilitate a complete view of Medicare and Medicaid data consisting of claims, beneficiary data, and drug information. The IDR is presently populated with seven … Continue reading

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