Busted: The top fraud schemes of Q4 2023
Some of the top alleged cases of healthcare fraud in Q4 2023 included falsified claims and exploitation of healthcare programs for Native Americans.
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Some of the top alleged cases of healthcare fraud in Q4 2023 included falsified claims and exploitation of healthcare programs for Native Americans.
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Read about some of the most prominent alleged cases of healthcare fraud, waste, and abuse occurring during the third quarter of 2023.
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Learn how Cotiviti flagged one provider in 2023 for possible fraud, waste, and abuse (FWA) activity related to COVID-19 drive-through tests.
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Cotiviti rounds up some of the most prominent cases of alleged healthcare fraud from the second quarter of 2023.
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Learn how health plans can structure their healthcare fraud, waste, and abuse investigations most effectively.
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Learn how Cotiviti’s SIU investigated suspicious telehealth claim activity.
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The start of 2023 saw an influx of fraud, waste, and abuse (FWA) cases, including falsified claims, kickbacks, and more—often directly harming patients.
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Learn how Cotiviti's SIU identified a suspicious pattern of psychotherapy claims from one provider, preventing inappropriate claims from being paid.
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Read our summary of the most prominent cases of alleged healthcare fraud from July through September 2022.
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Learn how Cotiviti's SIU caught a fraudulent pattern within applied behavior analysis.
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Learn how Cotiviti’s SIU identified an adult day care scheme that led to a $1 million overpayment.
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Learn how Cotiviti’s eagle-eyed SIU caught a chiropractor billing multiple times for durable medical equipment (DME).
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Learn about the latest indictments related to healthcare fraud, waste, and abuse (FWA) targeting both public and private payers.
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Discover how the pandemic affected behavioral health claims and learn different tactics for avoiding fraud, waste, and abuse.
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Here are three common schemes special investigative units (SIUs) should expect to see persist in 2022 and how to combat them.
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