A wholly-owned subsidiary of Quality Health Strategies
Health Integrity teams with Northrop Grumman and IBM to develop new predictive modeling technology known as the Fraud Prevention System (FPS) to identify and stop payment on suspicious fee-for-service (FFS) Medicare claims until they can be validated.
This project is part of the Centers for Medicare & Medicaid Services’ (CMS) National Fraud Prevention Program to detect and prevent fraud, waste, and abuse in the Medicare and Medicaid programs.