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Politics : Liberalism: Do You Agree We've Had Enough of It? -- Ignore unavailable to you. Want to Upgrade?

To: tonto who wrote (103478)	4/25/2011 6:58:45 PM
From: Hope Praytochange	3 Recommendations Respond to of 224757

Why didn't the feds/Obama go for this is why I sent email out. It is just amazing to me to turn down free help to solve a big waste of money like this N.C. to go ‘fishing’ for Medicaid fraud with IBM’s help "This system has the capacity to identify potential fraud, waste and abuse and we're doing it with the speed and efficiency that we never thought was possible before." RALEIGH, N.C. — Gov. Beverly Perdue says North Carolina can recover tens of millio ns dollars annually by shifting more Medicaid investigations from file cabinets to computer files that can be flagged for potential abuse and fraud in the state's $10 billion system. Perdue rolled out the state's latest effort that includes help from IBM (NYSE: IBM) to target patients or physicians who are gaming the system. The program will run Medicaid claims through IBM’s software program, crunching raw electronic billing and other data to identify suspicious trends among the nearly 2 million Medicaid patients and 60,000 Medicaid providers in the state. Medicaid investigations have historically relied on paper documents and workers had trouble analyzing such data, according to the Department of Health and Human Services. The initial effort won't require a large state investment. The state didn't pay IBM for the software program, Health and Human Services Secretary Lanier Cansler said. Instead, the company will get an amount equal to 10 percent of the money that the department determines should be recouped because services were fraudulent or unnecessary, with IBM's total capped at $5.4 million annually. "It's like fishing," Cansler said. "You fish to find the people who break the rules. We've been fishing with a cane pole. The governor's pushed us to get depth finders, where we can not only locate the school of fish we can also locate the big fish."