Bill > HR3483

This bill directs the Secretary of Veterans Affairs to implement a sophisticated information technology system to detect fraud, waste, and abuse in claims submitted under the Veterans Community Care Program. The system will have multiple advanced functions, including continuous monitoring of claims, analyzing historical and real-time data to identify potential fraudulent claims, using machine learning to recognize fraud patterns, and creating post-payment analyses to detect unnecessary costs. The technology will be integrated with existing claims processing systems and will have capabilities to log, store, and report on fraudulent claims. The Secretary must use funds from the VA franchise fund to develop this system and will be required to submit annual reports to Congressional Veterans' Affairs Committees detailing the system's effectiveness, estimated savings, and potential future enhancements. The bill specifies that this requirement will remain in effect for seven years from the Act's enactment, with implementation to occur within one year of the law's passage. The goal is to improve financial oversight and reduce improper payments in veterans' healthcare claims processing.

Government Affairs, Military Affairs and Security

https://www.congress.gov/bill/119th-congress/house-bill/3483/all-info