Busted: The top fraud schemes of Q2 2023
Cotiviti rounds up some of the most prominent cases of alleged healthcare fraud from the second quarter of 2023.
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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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Cotiviti rounds up some of the most prominent cases of alleged healthcare fraud from the fourth quarter of 2022.
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Explore the latest CPT code updates and areas for payers to scrutinize in the new year.
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As the “Great Resignation” continues to impact health plan staffing, here are 5 tips to help your health plan retain SIU employees and foster team bonding.
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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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The top alleged healthcare fraud schemes in the fourth quarter of 2021 came in the form of kickbacks, falsified claims, overbilling, and more.
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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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The most nefarious alleged healthcare fraud schemes of Q3 2021 included drug testing schemes, kickbacks, money laundering, and more.
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From fraudulent COVID-19 tests to fake requests for durable medical equipment (DME), this spring was full of attempts to defraud healthcare payers. Here, we’ve gathered some of the most...
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While 2021 has brought renewed optimism over the COVID-19 pandemic, it has also delivered numerous new fraud, waste, and abuse (FWA) cases in healthcare.
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While the COVID-19 pandemic has challenged providers in significant ways, it unfortunately has also created new opportunities for a small handful of bad actors to take advantage of the...
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