North Carolina expects to recover tens of millions dollars a year in fraudulent Medicaid claims by hiring a contractor to sift through electronic submissions rather than relying on reviews of paper claims, according to a report by Business Week.
The contractor will identify suspicious trends on claims for nearly 2 million Medicaid patients from 60,000 Medicaid providers in the state.
North Carolina is under increasing pressure to secure more savings as revenues stagnate and Medicaid spending is expected to be $250 million over budget this year.
Read Business Week’s report on North Carolina Medicaid fraud.
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