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FRAUD, WASTE, AND ABUSE PAYMENT ACCURACY

FWA Insights: How SIUs can identify misuse of the unlisted home visit code

Dina Ganibegovic

Aug 17, 2026

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FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q1 2025

Erin Rutzler, AHFI, CFE, CHC, CPC

Apr 30, 2025

FRAUD, WASTE, AND ABUSE

Busted: The top healthcare fraud schemes of Q4 2024

Erin Rutzler, AHFI, CFE, CHC, CPC

Mar 19, 2025

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q3 2024

Erin Rutzler, AHFI, CFE, CHC, CPC

Nov 13, 2024

FRAUD, WASTE, AND ABUSE

Case study: Highmark Wholecare prevents FWA with Claim Pattern Review

Erin Rutzler, AHFI, CFE, CHC, CPC

Nov 6, 2024

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q2 2024

Erin Rutzler, AHFI, CFE, CHC, CPC

Aug 15, 2024

PAYMENT INTEGRITY

FRAUD, WASTE, AND ABUSE

Video: Navigating new frontiers in FWA and payment integrity

Erin Rutzler, AHFI, CFE, CHC, CPC

Jul 16, 2024

FRAUD, WASTE, AND ABUSE

FWA Insights: Analysis confirms >$1 million in improper claims

Erin Rutzler, AHFI, CFE, CHC, CPC

Jun 10, 2024

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q1 2024

Erin Rutzler, AHFI, CFE, CHC, CPC

May 14, 2024

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q4 2023

Erin Rutzler, AHFI, CFE, CHC, CPC

Feb 6, 2024

FRAUD, WASTE, AND ABUSE

Busted: The top healthcare fraud schemes of Q3 2023

Erin Rutzler, AHFI, CFE, CHC, CPC

Nov 14, 2023

FRAUD, WASTE, AND ABUSE

FWA Insights: Flagging suspicious activity related to COVID-19 testing

Erin Rutzler, AHFI, CFE, CHC, CPC

Nov 8, 2023

FRAUD, WASTE, AND ABUSE

Webinar: Finding new schemes with AI and investigative techniques

Erin Rutzler, AHFI, CFE, CHC, CPC

Sep 11, 2023

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q2 2023

Erin Rutzler, AHFI, CFE, CHC, CPC

Aug 29, 2023

FRAUD, WASTE, AND ABUSE

How to sequence FWA investigations for greater impact

Erin Rutzler, AHFI, CFE, CHC, CPC

Jun 7, 2023

FRAUD, WASTE, AND ABUSE

FWA Insights: Flagging high-frequency telehealth claims

Erin Rutzler, AHFI, CFE, CHC, CPC

Jun 1, 2023

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q1 2023

Erin Rutzler, AHFI, CFE, CHC, CPC

May 4, 2023

FRAUD, WASTE, AND ABUSE

FWA Insights: Prepay review leads to >$100K in projected annual savings

Erin Rutzler, AHFI, CFE, CHC, CPC

Mar 28, 2023

FRAUD, WASTE, AND ABUSE

Webinar: Sequencing investigative activities for greater provider impact

Erin Rutzler, AHFI, CFE, CHC, CPC

Mar 22, 2023

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q4 2022

Erin Rutzler, AHFI, CFE, CHC, CPC

Feb 14, 2023

FRAUD, WASTE, AND ABUSE

FWA Insights: Navigating 2023 CPT code changes

Erin Rutzler, AHFI, CFE, CHC, CPC

Jan 30, 2023

FRAUD, WASTE, AND ABUSE

Maintaining a strong and successful SIU in 2023

Erin Rutzler, AHFI, CFE, CHC, CPC

Dec 14, 2022

FRAUD, WASTE, AND ABUSE

Webinar: Deter FWA in 2023 with the latest investigative strategies

Erin Rutzler, AHFI, CFE, CHC, CPC

Nov 29, 2022

FRAUD, WASTE, AND ABUSE

Focusing on prepay FWA prevention at NHCAA's Annual Training Conference

Erin Rutzler, AHFI, CFE, CHC, CPC

Nov 14, 2022

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q3 2022

Erin Rutzler, AHFI, CFE, CHC, CPC

Oct 27, 2022

FRAUD, WASTE, AND ABUSE

FWA Insights: Catching inappropriate billing within ASD services

Erin Rutzler, AHFI, CFE, CHC, CPC

Sep 14, 2022

FRAUD, WASTE, AND ABUSE

SIU panel discussion: Best practices in healthcare payer FWA

Erin Rutzler, AHFI, CFE, CHC, CPC

Sep 12, 2022

FRAUD, WASTE, AND ABUSE

FWA Insights: Spotting red flags in adult day care claims

Erin Rutzler, AHFI, CFE, CHC, CPC

Aug 18, 2022

FRAUD, WASTE, AND ABUSE

FWA Insights: How to catch a DME scheme

Erin Rutzler, AHFI, CFE, CHC, CPC

Jul 26, 2022

PAYMENT INTEGRITY

FRAUD, WASTE, AND ABUSE

White paper: Detecting and preventing FWA in behavioral health claims

Erin Rutzler, AHFI, CFE, CHC, CPC

Jun 1, 2022

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q1 2022

Erin Rutzler, AHFI, CFE, CHC, CPC

May 24, 2022

FRAUD, WASTE, AND ABUSE

Busted: The top healthcare fraud schemes of Q4 2021

Erin Rutzler, AHFI, CFE, CHC, CPC

Jan 20, 2022

FRAUD, WASTE, AND ABUSE

What’s old is new again: 3 healthcare fraud trends to watch for in 2022

Erin Rutzler, AHFI, CFE, CHC, CPC

Dec 2, 2021

FRAUD, WASTE, AND ABUSE

Preparing your payment integrity programs for 2022 and beyond

Erin Rutzler, AHFI, CFE, CHC, CPC

Nov 8, 2021

FRAUD, WASTE, AND ABUSE

Busted: The top healthcare fraud schemes of Q3 2021

Erin Rutzler, AHFI, CFE, CHC, CPC

Oct 26, 2021

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q2 2021

Erin Rutzler, AHFI, CFE, CHC, CPC

Jul 20, 2021

PAYMENT INTEGRITY

On-demand webinar: Integrating pre and postpay programs for optimal FWA results

Erin Rutzler, AHFI, CFE, CHC, CPC

May 19, 2021

FRAUD, WASTE, AND ABUSE

Busted: The top healthcare fraud schemes of Q1 2021

Erin Rutzler, AHFI, CFE, CHC, CPC

Apr 15, 2021

PAYMENT INTEGRITY

Busted: The top healthcare fraud schemes of Q4 2020

Erin Rutzler, AHFI, CFE, CHC, CPC

Jan 25, 2021

COVID-19

PAYMENT INTEGRITY

Case study: Identifying potential fraud, waste, and abuse during the COVID-19 pandemic

Erin Rutzler, AHFI, CFE, CHC, CPC

Oct 27, 2020

COVID-19

PAYMENT INTEGRITY

Busted: the top COVID-19 healthcare fraud schemes

Erin Rutzler, AHFI, CFE, CHC, CPC

Jul 13, 2020

COVID-19

PAYMENT INTEGRITY

Video: Preventing healthcare fraud, waste, and abuse before paying claims

Erin Rutzler, AHFI, CFE, CHC, CPC

Jun 24, 2020

COVID-19

PAYMENT INTEGRITY

Coronavirus FWA: What health plans need to know

Erin Rutzler, AHFI, CFE, CHC, CPC

Mar 23, 2020