CMS Seeks Info on Emerging Tech to Support Program Integrity Efforts

The Centers for Medicare and Medicaid Services is looking for input on how to leverage emerging technologies like artificial intelligence to ensure the integrity of its programs and prevent cases of fraud.

According to a FedBizOpps notice posted Wednesday, CMS intends to use new technologies to reduce the burden on healthcare providers, improve operations and ensure the accuracy of claims-related transactions.

CMS noted in its request for information that it aims to identify “next-generation strategies, tools and technologies” that will help the agency reduce time needed to recover improper payments and take action on other vulnerabilities.

In addition, the agency said it seeks to address the increased volume of data under the Medicare program as well as its fee-for-service payment system that led to instances of fraud, waste and abuse through incentives.

“Taxpayers have more to lose than ever before from entities and individuals who would, whether intentionally or accidentally, seek improper payment from our programs,” the RFI stated. “With this increasing significance and attention, CMS must continue to adapt in order to respond and meet challenges through its many existing program integrity actions.”

Interested parties may submit responses through Nov. 20.

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