The rule, from the HHS Office of Inspector General, amends current regulations that prohibit use of federal matching funds for data mining. Fraud units currently rely on referrals from state agencies, providers and private citizens to identify possible cases of fraud.
Permitting federal funding in data mining activities will be an efficient use of available resources, the Office of Inspector General declares in the proposed rule. "At the federal level, analysis of claims data has increased OIG's effectiveness in deploying law enforcement resources and proactively identifying suspected fraud."
This story originally appeared on Health Data Management.
Joseph Goedert is news editor at Health Data Management.