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Our latest healthcare insights and perspectives

FRAUD, WASTE, AND ABUSE PREVENTION

COVID-19

Q&A: Highmark's payment integrity director on new COVID-19 claim trends

Michael Jablon

Aug 17, 2020

FRAUD, WASTE, AND ABUSE PREVENTION

COVID-19

Busted: the top COVID-19 healthcare fraud schemes

Erin Rutzler

Jul 13, 2020

FRAUD, WASTE, AND ABUSE PREVENTION

COVID-19

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

Erin Rutzler

Jun 24, 2020

FRAUD, WASTE, AND ABUSE PREVENTION

COVID-19

Coronavirus FWA: What health plans need to know

Erin Rutzler

Mar 23, 2020

FRAUD, WASTE, AND ABUSE PREVENTION

Busted: the top healthcare fraud schemes of Q4 2019

Leslie Groves

Feb 18, 2020

FRAUD, WASTE, AND ABUSE PREVENTION

Case study: How to build a strong healthcare fraud case leading to conviction

Mark Starinsky, AHFI, CFE, CHC

Jan 16, 2020

FRAUD, WASTE, AND ABUSE PREVENTION

Podcast: The keys to successful claim overpayment recovery

Jeff Robinson

Dec 9, 2019

FRAUD, WASTE, AND ABUSE PREVENTION

Video: Tips to help you find the FWA needle in the haystack with Excel

Jeff Robinson

Nov 26, 2019

FRAUD, WASTE, AND ABUSE PREVENTION

Dr. Emad Rizk: 3 tips for moving from retrospective to prospective payment integrity

Jeff Robinson

Nov 18, 2019

FRAUD, WASTE, AND ABUSE PREVENTION

Busted: the top 10 healthcare fraud schemes of Q3 2019

Leslie Groves

Oct 7, 2019

FRAUD, WASTE, AND ABUSE PREVENTION

Podcast: The insider's guide to clinical appropriateness

Jeff Robinson

Sep 24, 2019

FRAUD, WASTE, AND ABUSE PREVENTION

Busted: the top fraud charges of Q2 2019

Leslie Groves

Jul 18, 2019

FRAUD, WASTE, AND ABUSE PREVENTION

Podcast: How to step up claim overpayment recovery results

Jeff Robinson

Jun 19, 2019

FRAUD, WASTE, AND ABUSE PREVENTION

Podcast: how to sharpen your inpatient auditing program with better chart selection

Jeff Robinson

May 20, 2019

FRAUD, WASTE, AND ABUSE PREVENTION

Busted: the top fraud schemes of Q1 2019

Leslie Groves

Apr 23, 2019

FRAUD, WASTE, AND ABUSE PREVENTION

Podcast: validating clinical claims without medical record review

Jeff Robinson

Mar 22, 2019

FRAUD, WASTE, AND ABUSE PREVENTION

Busted: rounding up the top fraud schemes of Q3-Q4 2018

Warren Lesnefsky

Jan 10, 2019

FRAUD, WASTE, AND ABUSE PREVENTION

Podcast: Fighting healthcare fraud and abuse with NHCAA

Jeff Robinson

Nov 6, 2018

FRAUD, WASTE, AND ABUSE PREVENTION

Podcast: How clinical validation is good for payers, providers, and patients

Jeff Robinson

Sep 27, 2018

FRAUD, WASTE, AND ABUSE PREVENTION

busted: rounding up the top fraud schemes of Q2 2018

Warren Lesnefsky

Aug 1, 2018

FRAUD, WASTE, AND ABUSE PREVENTION

Busted: The top fraud schemes of Q1 2018

Warren Lesnefsky

Apr 18, 2018

FRAUD, WASTE, AND ABUSE PREVENTION

Podcast: Are you catching all types of duplicate claims?

Warren Lesnefsky

Apr 11, 2018

FRAUD, WASTE, AND ABUSE PREVENTION

Just the facts: Answering your questions on claim editing and clinical validation

Debi Behunin

Feb 12, 2018

FRAUD, WASTE, AND ABUSE PREVENTION

Get more bang for your buck with claim editing analytics

Jon Edwards

Jan 17, 2018

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