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Our latest healthcare insights and perspectives

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q1 2025

Erin Rutzler

Apr 30, 2025

FRAUD, WASTE, AND ABUSE

FWA Insights: Skin grafts and substitutes

Jamecia Cousar

Apr 9, 2025

FRAUD, WASTE, AND ABUSE

Busted: The top healthcare fraud schemes of Q4 2024

Erin Rutzler

Mar 19, 2025

FRAUD, WASTE, AND ABUSE

FWA Insights: Reducing audit abrasion

Heather Weible, CPC

Mar 11, 2025

FRAUD, WASTE, AND ABUSE

eBook: How to evolve your FWA program in 2025

Vince Smith, AHFI, CFE

Feb 25, 2025

FRAUD, WASTE, AND ABUSE

FWA Insights: Changes to audio-only telehealth codes sheds light on FWA

Timothy Sak, CPC

Feb 11, 2025

FRAUD, WASTE, AND ABUSE

6 key capabilities to advance beyond traditional FWA lead detection

Vince Smith, AHFI, CFE

Jan 27, 2025

FRAUD, WASTE, AND ABUSE

White Paper: Enhancing dental payment accuracy to combat FWA

Steven M. Canfield, D.D.S.

Dec 18, 2024

FRAUD, WASTE, AND ABUSE

Webinar: Advancing beyond traditional FWA lead detection

Ryan Cleverly, AHFI

Dec 3, 2024

FRAUD, WASTE, AND ABUSE

Realizing the evolution of FWA prevention and management

Warren Lesnefsky

Nov 18, 2024

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q3 2024

Erin Rutzler

Nov 13, 2024

FRAUD, WASTE, AND ABUSE

Case study: Highmark Wholecare prevents FWA with Claim Pattern Review

Erin Rutzler

Nov 6, 2024

FRAUD, WASTE, AND ABUSE

Webinar: Lessons learned from a successful prepay FWA program

Nikki Brody

Sep 23, 2024

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q2 2024

Erin Rutzler

Aug 15, 2024

FRAUD, WASTE, AND ABUSE

FWA Insights: Catching outlier behaviors in physical therapy claims

Melanie Poole

Aug 8, 2024

PAYMENT INTEGRITY

FRAUD, WASTE, AND ABUSE

Video: Navigating new frontiers in FWA and payment integrity

Erin Rutzler

Jul 16, 2024

FRAUD, WASTE, AND ABUSE

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

Erin Rutzler

Jun 10, 2024

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q1 2024

Erin Rutzler

May 14, 2024

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q4 2023

Erin Rutzler

Feb 6, 2024

FRAUD, WASTE, AND ABUSE

FWA Insights: Examining a suspicious volume of HCPCS codes

Melanie Poole

Jan 31, 2024

FRAUD, WASTE, AND ABUSE

Case study: Integrated prepay and FWA solutions deliver improved claim accuracy

Vince Smith, AHFI, CFE

Jan 24, 2024

FRAUD, WASTE, AND ABUSE

Preparing for 2024 trends in healthcare FWA: CPT code updates and beyond

Mary Cate Anderson, HCAFA

Jan 17, 2024

FRAUD, WASTE, AND ABUSE

Webinar: Preparing for investigative strategies in 2024

Mary Cate Anderson, HCAFA

Dec 5, 2023

FRAUD, WASTE, AND ABUSE

Busted: The top healthcare fraud schemes of Q3 2023

Erin Rutzler

Nov 14, 2023

FRAUD, WASTE, AND ABUSE

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

Erin Rutzler

Nov 8, 2023

FRAUD, WASTE, AND ABUSE

Webinar: Finding new schemes with AI and investigative techniques

Erin Rutzler

Sep 11, 2023

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q2 2023

Erin Rutzler

Aug 29, 2023

FRAUD, WASTE, AND ABUSE

FWA Insights: Catching schemes related to Ozempic, Wegovy, and semaglutides

Melanie Poole

Aug 2, 2023

FRAUD, WASTE, AND ABUSE

How to sequence FWA investigations for greater impact

Erin Rutzler

Jun 7, 2023

FRAUD, WASTE, AND ABUSE

FWA Insights: Flagging high-frequency telehealth claims

Erin Rutzler

Jun 1, 2023

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q1 2023

Erin Rutzler

May 4, 2023

FRAUD, WASTE, AND ABUSE

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

Erin Rutzler

Mar 28, 2023

FRAUD, WASTE, AND ABUSE

Webinar: Sequencing investigative activities for greater provider impact

Erin Rutzler

Mar 22, 2023

FRAUD, WASTE, AND ABUSE

Podcast: How health plans investigate and prevent FWA

Jeff Robinson

Mar 2, 2023

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q4 2022

Erin Rutzler

Feb 14, 2023

FRAUD, WASTE, AND ABUSE

FWA Insights: Navigating 2023 CPT code changes

Erin Rutzler

Jan 30, 2023

FRAUD, WASTE, AND ABUSE

FWA Insights: Catching improper billing within genetic testing and molecular pathology

Melanie Poole

Dec 21, 2022

FRAUD, WASTE, AND ABUSE

Maintaining a strong and successful SIU in 2023

Erin Rutzler

Dec 14, 2022

FRAUD, WASTE, AND ABUSE

Webinar: Deter FWA in 2023 with the latest investigative strategies

Erin Rutzler

Nov 29, 2022

FRAUD, WASTE, AND ABUSE

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

Erin Rutzler

Nov 14, 2022

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q3 2022

Erin Rutzler

Oct 27, 2022

FRAUD, WASTE, AND ABUSE

FWA Insights: Managing FWA for dental claims

Cindy Egan

Oct 17, 2022

FRAUD, WASTE, AND ABUSE

FWA Insights: Spotting overpayments in mental health services

Melanie Poole

Sep 28, 2022

FRAUD, WASTE, AND ABUSE

FWA Insights: Catching inappropriate billing within ASD services

Erin Rutzler

Sep 14, 2022

FRAUD, WASTE, AND ABUSE

SIU panel discussion: Best practices in healthcare payer FWA

Erin Rutzler

Sep 12, 2022

FRAUD, WASTE, AND ABUSE

FWA Insights: Flagging for excessive modifiers

Melanie Poole

Sep 1, 2022

FRAUD, WASTE, AND ABUSE

FWA Insights: Spotting red flags in adult day care claims

Erin Rutzler

Aug 18, 2022

FRAUD, WASTE, AND ABUSE

FWA Insights: Flagging potential physical therapy schemes

Melanie Poole

Aug 4, 2022

FRAUD, WASTE, AND ABUSE

FWA Insights: How to catch a DME scheme

Erin Rutzler

Jul 26, 2022

FRAUD, WASTE, AND ABUSE

Webinar: Catching potential drug testing fraud

Carlyn Hoffman

Jun 21, 2022

PAYMENT INTEGRITY

FRAUD, WASTE, AND ABUSE

White paper: Detecting and preventing FWA in behavioral health claims

Erin Rutzler

Jun 1, 2022

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q1 2022

Erin Rutzler

May 24, 2022

FRAUD, WASTE, AND ABUSE

Busted: The top healthcare fraud schemes of Q4 2021

Erin Rutzler

Jan 20, 2022

FRAUD, WASTE, AND ABUSE

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

Erin Rutzler

Dec 2, 2021

FRAUD, WASTE, AND ABUSE

Preparing your payment integrity programs for 2022 and beyond

Erin Rutzler

Nov 8, 2021

FRAUD, WASTE, AND ABUSE

Busted: The top healthcare fraud schemes of Q3 2021

Erin Rutzler

Oct 26, 2021

FRAUD, WASTE, AND ABUSE

Busted: The top fraud schemes of Q2 2021

Erin Rutzler

Jul 20, 2021

FRAUD, WASTE, AND ABUSE

Busted: The top healthcare fraud schemes of Q1 2021

Erin Rutzler

Apr 15, 2021

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