Navigation Links
Technology can Dramatically Reduce Billions of Dollars in Medicaid, Medicare Fraud

System Detects Illegal Payments and Providers

AUSTIN, Texas, Dec. 12 /PRNewswire/ -- According to the federal government and an NBC News report, U.S. taxpayers are annually defrauded of about $60 billion in Medicare payments to unqualified doctors and health care providers. A new system developed by S3 Matching Technologies of Austin, Texas, however, can make a significant impact on reducing Medicare and Medicaid fraud with algorithmic data matching. Using the company's patented TeraMatch(R) technology, S3's system matches numerous fields from huge databases and finds minute variances that can often reveal fraud by unqualified providers.

"Our technology looks at data in almost the same way a human would," said Jack Holt, CEO of S3. "The data matching algorithms make matches based upon probabilities that two similar things are actually the same thing. This is about as close as you can come to getting a computer to think for you."

According to Holt, S3's Medicaid fraud detection software has already begun to make an impact for Texas Medicaid Healthcare Partners (TMHP). Prior to using TeraMatch(R), TMHP employees had to visually scan five different data lists from state and federal agencies. They used simple, commercial programs like EXCEL or MS ACCESS to search for doctors or providers who are not supposed to be receiving payments. Findings were based on the either-or principles of deterministic matching, which does not allow for subtle differences in data. The work was tedious and difficult until the implementation of TeraMatch(R).

"TMHP tracks hundreds of thousands of providers to make certain the right people are being paid," said Rick Pope, Managing Director of TMHP. "S3 has given us a tool that dramatically reduces risk and can potentially increase the level of confidence that beneficiaries are receiving health care from qualified providers."

TeraMatch(R) takes each bit of information on any kind of data record; inventory item, name, circuit id, order id, and scores it for similarity. A total score is provided along with all the other potential matches. Five different sub-algorithms are deployed for name matching in the newest version of TeraMatch(R) and it is now possible to match on one-to-many basis along with real-time and batch.

About S3 Matching Technologies (

S3 is an Austin, Texas based company focused on providing data quality management software for the IT, telecom, financial services, and healthcare industries. S3 invented TeraMatch(R), a rules-based matching engine which uses algorithmic scoring based on industry-specific best practices. S3's software is deployed as software as a service.

SOURCE S3 Matching Technologies
Copyright©2007 PR Newswire.
All rights reserved

Related medicine news :

1. Quantum light beams good for fast technology
2. New Smart Technology Makes Patient Data Collection Easier, More Efficient
3. Align Technology Executive to Present at Upcoming Financial Conferences
4. Pioneer Surgical Technology Hires Vice President of New Business Development
5. Purdue researchers develop technology to detect cancer by scanning surface veins
6. Creative Technology Services Enhances its Global Competitiveness with Additional Regulatory Certifications
7. University of Wisconsin Hospitals and Clinics Complete System-Wide Conversion to Masimo SET Pulse Oximetry Technology
8. Patent Reform Legislation Threatens Americas Leadership in Medical Technology Innovation
9. Stevens Health, Technology and Society roundtable: Sept. 19
10. Microbiotic technology developed for microinjection of zebrafish embryos
11. Proven Terumo Coronary Guidewire Technology Is Now Available in the United States
Post Your Comments:
(Date:11/27/2015)... CA (PRWEB) , ... November 27, 2015 , ... According ... carried out by the University of Toronto and the University of British Columbia suggested ... hospitalizations for head injuries. The article explains that part of the reason for the ...
(Date:11/27/2015)... , ... November 27, 2015 , ... ... safe and convenient way to dispense prescription medications at home, so he invented ... way to monitor and dispense prescription medications. In doing so, it could help ...
(Date:11/27/2015)... ... November 27, 2015 , ... ProSidebar: Fashion is a ... X. With ProSidebar: Fasion, video editors can easily add an informative sidebar to ... title opener. Utilize presets featuring self-animating drop zones, lines, bars, and text with ...
(Date:11/27/2015)... , ... November 27, 2015 , ... A simply groundbreaking ... is an interesting show that delves into an array of issues that are presently ... could benefit from open dialogue, this show is changing the subjects consumers focus on, ...
(Date:11/27/2015)... ... November 27, 2015 , ... The men and women on ... organizations in the country. They have overseen financial turnarounds, shown commitment to their ... healthcare industry as a whole through their advocacy and professional efforts. , Becker's ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... , November 26, 2015 --> ... to use SyMRI to find optimal contrast weighting of MRI ... metastases, and has signed a research agreement with SyntheticMR in ... hospital. Using SyMRI, it is possible to generate multiple contrast ... after the patient has left, thus making it possible to ...
(Date:11/26/2015)... DUBLIN , November 26, 2015 ... has announced the addition of the  ... in the Global Cell Surface Testing ... Opportunities" report to their offering.  ... the addition of the  "2016 Future ...
(Date:11/26/2015)... , November 26, 2015 /PRNewswire/ ... --> adds "Global ... and "Investigation Report on China Repaglinide ... 2021 forecasts data and information to ... . --> ...
Breaking Medicine Technology: