State Contracts with IBM for Medicaid Fraud Audit

Earlier this week, Governor Beverly Perdue announced that the State would partner with IBM to audit North Carolina Medicaid to search for dollars lost due to fraud and abuse.  The audit will rely on IBM software to review files and flag suspicious cases, according to the Governor’s press release

NCMS will be holding conversations with the NC Department of Health & Human Services about the coming audits.  Once more details are available we plan to generate an accurate description of the State’s relationship with IBM, how IBM’s software will be implemented, the size and scope of the audit, and when the audit is scheduled to begin. 

If you have questions, please contact Conor Brockett at [email protected].

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