Our latest healthcare insights and perspectives
FRAUD, WASTE, AND ABUSE
Realizing the evolution of FWA prevention and managementWarren Lesnefsky
Nov 18, 2024
FRAUD, WASTE, AND ABUSE
Case study: Highmark Wholecare prevents FWA with Claim Pattern ReviewErin Rutzler
Nov 6, 2024
FRAUD, WASTE, AND ABUSE
Webinar: Lessons learned from a successful prepay FWA programNikki Brody
Sep 23, 2024
FRAUD, WASTE, AND ABUSE
FWA Insights: Catching outlier behaviors in physical therapy claimsMelanie Poole
Aug 8, 2024
PAYMENT INTEGRITY
FRAUD, WASTE, AND ABUSE
Video: Navigating new frontiers in FWA and payment integrityErin Rutzler
Jul 16, 2024
FRAUD, WASTE, AND ABUSE
FWA Insights: Analysis confirms >$1 million in improper claimsErin Rutzler
Jun 10, 2024
FRAUD, WASTE, AND ABUSE
FWA Insights: Examining a suspicious volume of HCPCS codesMelanie Poole
Jan 31, 2024
FRAUD, WASTE, AND ABUSE
Case study: Integrated prepay and FWA solutions deliver improved claim accuracyVince Smith, AHFI, CFE
Jan 24, 2024
FRAUD, WASTE, AND ABUSE
Preparing for 2024 trends in healthcare FWA: CPT code updates and beyondMary Cate Anderson, HCAFA
Jan 17, 2024
FRAUD, WASTE, AND ABUSE
Webinar: Preparing for investigative strategies in 2024Mary Cate Anderson, HCAFA
Dec 5, 2023
FRAUD, WASTE, AND ABUSE
Busted: The top healthcare fraud schemes of Q3 2023Erin Rutzler
Nov 14, 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
FWA Insights: Catching schemes related to Ozempic, Wegovy, and semaglutidesMelanie Poole
Aug 2, 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
Podcast: How health plans investigate and prevent FWAJeff Robinson
Mar 2, 2023
FRAUD, WASTE, AND ABUSE
FWA Insights: Catching improper billing within genetic testing and molecular pathologyMelanie Poole
Dec 21, 2022
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: Spotting overpayments in mental health servicesMelanie Poole
Sep 28, 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
FRAUD, WASTE, AND ABUSE
FWA Insights: Flagging potential physical therapy schemesMelanie Poole
Aug 4, 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
FRAUD, WASTE, AND ABUSE
Busted: The top healthcare fraud schemes of Q1 2021Erin Rutzler
Apr 15, 2021