Integrating prepay and postpay program interventions is one of the best ways that plans can improve fraud, waste, and abuse (FWA) management and prevention. The combination can allow payers to identify abusive billing patterns, add to prepay review, and even anticipate bad billing behavior going forward.
I invite you to join us as we discuss a case study involving waste and abuse during our on-demand webinar, Program Integrity Pulse: A Claim Pattern Review case study. Hear from our waste and abuse experts to learn how genetic testing, laboratory, and other providers were confirmed as billing for services deemed wasteful or abusive.
During the webinar, you’ll be able to:
- Learn how a combination of provider and claim-level reviews increases program effectiveness
- Understand best practices in integrating waste and abuse program interventions
- Hear new results from an example of prepay review of aberrant claim patterns