Hospitals, Contractors, and Data Mining… What’s Next?

The Centers for Medicare & Medicaid Services’ (CMS) contractors use advanced data-analysis tools, such as data mining, to identify potential payment aberrations (overpayments and underpayments).  This article explains how CMS intends to use the hospitals’ data and underscores the importance of implementing similar techniques in order to identify and fix errors before CMS’ contractors discover them.