INDIANAPOLIS July 20, 2011
The National Fraud Prevention Program will be implemented by the Center for Program Integrity (CPI) within CMS. CPI will manage the prevention and detection of fraud, waste, abuse and other improper payments under the Medicare program.
CMS expects to launch the National Fraud Prevention Program by implementing a Fraud Prevention System capable of identifying high-risk claims and an integrated case management system that manages alerts.
As a subcontractor to Northrop Grumman, NGS will provide Medicare Fee-for-Service expertise, development of algorithms for fraud prevention, and hosting of information technology and infrastructure. Verizon, a fellow teammate, will provide a software platform – a customized version of the platform it uses for its own fraud detection programs – incorporating predictive modeling technology.
About WellPoint, Inc.
California Colorado Connecticut Georgia Indiana Kentucky Maine Missouri Kansas City Nevada New Hampshire New York Ohio Virginia Northern Virginia Washington, D.C. New York www.wellpoint.com
About National Government Services, Inc.
National Government Services, Inc. contracts with the Centers for Medicare & Medicaid Services to administer Medicare Part A (hospital insurance), home health and hospice, national FQHC and Part B (medical insurance) contracts and the Jurisdiction B durable medical equipment Medicare administrative contract, serving nearly 160,000 providers and suppliers, and over 22 million people with Medicare in 18 states and five U.S. Territories. National Government Services is a subsidiary of WellPoint, Inc. and has served as a Medicare contractor since 1966.
SOURCE WellPoint, Inc.