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Our latest healthcare insights and perspectives

PAYMENT INTEGRITY

Webinar: Unlock the “Total Value” of your payment integrity program

Michael Jablon

Apr 16, 2024

PAYMENT INTEGRITY

Podcast: The "Total Value" approach to payment integrity

Jeff Robinson

Mar 26, 2024

PAYMENT INTEGRITY

White paper: Improving payment integrity with inpatient claim review

Cheri Moehring

Jan 29, 2024

PAYMENT INTEGRITY

Case study: The impact of prospective DRG validation

Cheri Moehring

Dec 12, 2023

PAYMENT INTEGRITY

Case study: Data mining for errors yields more accurate pharmacy payments

Matthew Herbein

Nov 16, 2023

PAYMENT INTEGRITY

Podcast: Optimizing inpatient claim review

Jeff Robinson

Oct 10, 2023

PAYMENT INTEGRITY

Savings spotlight: Dental claim review expertise nets significant savings

Steve Canfield, DDS

Sep 13, 2023

PAYMENT INTEGRITY

Podcast: Payment integrity for self-insured (ASO) employer groups

Jeff Robinson

Aug 16, 2023

PAYMENT INTEGRITY

Webinar: Making payment integrity work for your self-insured groups

Allyn Sullivan

Jul 19, 2023

PAYMENT INTEGRITY

Webinar: A Claim Pattern Review case study

Ed McCormick

Jun 19, 2023

PAYMENT INTEGRITY

3 takeaways from CCC23 to improve payment integrity

Matthew Hawley

May 24, 2023

PAYMENT INTEGRITY

White paper: The “smart prepay” approach to payment integrity

Matthew Hawley

Apr 20, 2023

PAYMENT INTEGRITY

eBook: The payment integrity playbook for success in 2023 and beyond

Jordan Bazinsky

Jan 17, 2023

PAYMENT INTEGRITY

How Data Mining helps clean up your claim payment stream

Susan Murray

Dec 8, 2022

PAYMENT INTEGRITY

3 key tips for managing your payment integrity portfolio

Jordan Bazinsky

Oct 24, 2022

PAYMENT INTEGRITY

Webinar series: Accuracy along the payment continuum

Jordan Bazinsky

Aug 23, 2022

PAYMENT INTEGRITY

Video: How to shorten time to payment integrity results

Matthew Hawley

Aug 3, 2022

PAYMENT INTEGRITY

3 key elements of a successful employment verification process

Naomi Murphy

Jun 15, 2022

PAYMENT INTEGRITY

FRAUD, WASTE, AND ABUSE

White paper: Detecting and preventing FWA in behavioral health claims

Erin Rutzler

Jun 1, 2022

PAYMENT INTEGRITY

Section 340B overview: Medicare, Medicaid, covered entities, and more

Kristie Ressler, D.O.

May 3, 2022

PAYMENT INTEGRITY

Specialty drugs: Why go beyond prior authorization?

Jonathan Starr, PharmD

Mar 23, 2022

PAYMENT INTEGRITY

On-demand webinar: Understand the 2022 CPT code changes

Amy Hodges

Dec 7, 2021

PAYMENT INTEGRITY

E&M over-coding: How can payers solve this costly challenge?

Richard Pozen, M.D.

Sep 29, 2021

PAYMENT INTEGRITY

Keeping members in mind: Optimizing coordination of benefits

Naomi Murphy

Mar 23, 2021

PAYMENT INTEGRITY

Busted: The top healthcare fraud schemes of Q4 2020

Erin Rutzler

Jan 25, 2021

COVID-19

PAYMENT INTEGRITY

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

Michael Jablon

Aug 17, 2020

MEDICAID

COVID-19

PAYMENT INTEGRITY

Five critical areas of focus for Medicaid plans amid COVID-19

Bonnie Phillips

Jul 15, 2020

COVID-19

PAYMENT INTEGRITY

Busted: the top COVID-19 healthcare fraud schemes

Erin Rutzler

Jul 13, 2020

COVID-19

PAYMENT INTEGRITY

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

Erin Rutzler

Jun 24, 2020

PAYMENT INTEGRITY

Webinar: Achieving payment integrity success amid COVID-19

Michelle DeNetto, M.D.

Jun 11, 2020

COVID-19

PAYMENT INTEGRITY

Coronavirus FWA: What health plans need to know

Erin Rutzler

Mar 23, 2020

PAYMENT INTEGRITY

Busted: the top healthcare fraud schemes of Q4 2019

Warren Lesnefsky

Feb 18, 2020

PAYMENT INTEGRITY

Webinar: Leading the way forward in payment accuracy

Warren Lesnefsky

Jan 23, 2020

PAYMENT INTEGRITY

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

Mark Starinsky, AHFI, CFE, CHC

Jan 16, 2020

PAYMENT INTEGRITY

Podcast: The keys to successful claim overpayment recovery

Jeff Robinson

Dec 9, 2019

PAYMENT INTEGRITY

Busted: the top 10 healthcare fraud schemes of Q3 2019

Warren Lesnefsky

Oct 7, 2019

PAYMENT INTEGRITY

Busted: the top fraud charges of Q2 2019

Warren Lesnefsky

Jul 18, 2019

PAYMENT INTEGRITY

Podcast: How to step up claim overpayment recovery results

Jeff Robinson

Jun 19, 2019

PAYMENT INTEGRITY

Busted: the top fraud schemes of Q1 2019

Warren Lesnefsky

Apr 23, 2019

PAYMENT INTEGRITY

Podcast: validating clinical claims without medical record review

Jeff Robinson

Mar 22, 2019

PAYMENT INTEGRITY

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

Warren Lesnefsky

Jan 10, 2019

PAYMENT INTEGRITY

Podcast: Fighting healthcare fraud and abuse with NHCAA

Jeff Robinson

Nov 6, 2018

PAYMENT INTEGRITY

busted: rounding up the top fraud schemes of Q2 2018

Warren Lesnefsky

Aug 1, 2018

PAYMENT INTEGRITY

Busted: The top fraud schemes of Q1 2018

Warren Lesnefsky

Apr 18, 2018

PAYMENT INTEGRITY

Get more bang for your buck with claim editing analytics

Jon Edwards

Jan 17, 2018

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