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Our latest healthcare insights and perspectives

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

Podcast: Are you catching all types of duplicate claims?

Warren Lesnefsky

Apr 11, 2018

PAYMENT INTEGRITY

Get more bang for your buck with claim editing analytics

Jon Edwards

Jan 17, 2018

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