Our latest healthcare insights and perspectives
PAYMENT INTEGRITY
FRAUD, WASTE, AND ABUSE
Video: Navigating new frontiers in FWA and payment integrityErin Rutzler
Jul 16, 2024
RISK ADJUSTMENT
Video: Navigating new frontiers in risk adjustmentKatie Sender, MSN, RN, PHN, CRC
Jul 9, 2024
QUALITY AND STARS
Quality Decoded webinar: Preparing for HEDIS MY 2024Jamison Gillitzer
Jul 3, 2024
Melanie Poole
Aug 2, 2023
FRAUD, WASTE, AND ABUSE
FWA Insights: Flagging suspicious activity related to COVID-19 testingErin Rutzler
Nov 8, 2023
FRAUD, WASTE, AND ABUSE
Webinar: Finding new schemes with AI and investigative techniquesErin Rutzler
Sep 11, 2023
FRAUD, WASTE, AND ABUSE
How to sequence FWA investigations for greater impactErin Rutzler
Jun 7, 2023
FRAUD, WASTE, AND ABUSE
FWA Insights: Flagging high-frequency telehealth claimsErin Rutzler
Jun 1, 2023
FRAUD, WASTE, AND ABUSE
FWA Insights: Prepay review leads to >$100K in projected annual savingsErin Rutzler
Mar 28, 2023
FRAUD, WASTE, AND ABUSE
Webinar: Sequencing investigative activities for greater provider impactErin Rutzler
Mar 22, 2023
FRAUD, WASTE, AND ABUSE
Webinar: Deter FWA in 2023 with the latest investigative strategiesErin Rutzler
Nov 29, 2022
FRAUD, WASTE, AND ABUSE
Focusing on prepay FWA prevention at NHCAA's Annual Training ConferenceErin Rutzler
Nov 14, 2022
FRAUD, WASTE, AND ABUSE
FWA Insights: Catching inappropriate billing within ASD servicesErin Rutzler
Sep 14, 2022
FRAUD, WASTE, AND ABUSE
SIU panel discussion: Best practices in healthcare payer FWAErin Rutzler
Sep 12, 2022
FRAUD, WASTE, AND ABUSE
FWA Insights: Spotting red flags in adult day care claimsErin Rutzler
Aug 18, 2022
PAYMENT INTEGRITY
FRAUD, WASTE, AND ABUSE
White paper: Detecting and preventing FWA in behavioral health claimsErin Rutzler
Jun 1, 2022
FRAUD, WASTE, AND ABUSE
Busted: The top healthcare fraud schemes of Q4 2021Erin Rutzler
Jan 20, 2022
FRAUD, WASTE, AND ABUSE
What’s old is new again: 3 healthcare fraud trends to watch for in 2022Erin Rutzler
Dec 2, 2021
FRAUD, WASTE, AND ABUSE
Preparing your payment integrity programs for 2022 and beyondErin Rutzler
Nov 8, 2021
FRAUD, WASTE, AND ABUSE
Busted: The top healthcare fraud schemes of Q3 2021Erin Rutzler
Oct 26, 2021
PAYMENT INTEGRITY
On-demand webinar: Integrating pre and postpay programs for optimal FWA resultsErin Rutzler
May 19, 2021
FRAUD, WASTE, AND ABUSE
Busted: The top healthcare fraud schemes of Q1 2021Erin Rutzler
Apr 15, 2021
COVID-19
PAYMENT INTEGRITY
Case study: Identifying potential fraud, waste, and abuse during the COVID-19 pandemicErin Rutzler
Oct 27, 2020
COVID-19
PAYMENT INTEGRITY
Busted: the top COVID-19 healthcare fraud schemesErin Rutzler
Jul 13, 2020
COVID-19
PAYMENT INTEGRITY
Video: Preventing healthcare fraud, waste, and abuse before paying claimsErin Rutzler
Jun 24, 2020
COVID-19
PAYMENT INTEGRITY
Coronavirus FWA: What health plans need to knowErin Rutzler
Mar 23, 2020