Indiana joins federal pilot using Oracle AI to detect Medicaid fraud before payment
Indiana's Family and Social Services Administration (FSSA) is joining a federal pilot program that provides free access to Oracle's AI software to detect Medicaid fraud. The 90-day initiative, launched by CMS, uses AI to analyze claims for suspicious patterns such as upcoding and ghost services, with the goal of identifying fraudulent claims before they are paid out.
Key quotes
FSSA announced the 90-day partnership Wednesday, boasting of the software's potential to identify fraudulent claims before they are paid.
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