Waltz Quoted on Possibility of CMS Expanding Fraud Prevention System to MACs, Medical Review

Partner Judith Waltz was quoted in an article published in the Report on Medicare Compliance on June 30, 2014, titled “CMS May Expand Fraud Prevention System to MACs, Medical Review.” The article discussed how the Centers for Medicare and Medicaid Services may soon apply predictive analytics technology to medical review through the use of the Fraud Prevention System. The Fraud Prevention System taps into the Integrated Data Repository, which includes claims, beneficiary data and Part D drug information among other resources. Waltz was quoted saying, “The number of reported administrative actions is quite low.”