Busted: The top fraud schemes of Q3 2024
Physician fraud, genetic testing fraud, and fraudulent DME billing made up some of the most notable FWA cases in the third quarter of 2024.
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Physician fraud, genetic testing fraud, and fraudulent DME billing made up some of the most notable FWA cases in the third quarter of 2024.
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Read a rundown of notable healthcare fraud, waste, and abuse cases, including a >$2 billion nationwide bust.
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Cotiviti's Erin Rutzler, vice president of fraud, waste, and abuse, explains how Cotiviti is empowering health plans to navigate new frontiers in payment integrity.
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Learn how confirming a tip through data analytics yielded significant findings.
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Learn how some of the top healthcare fraud cases of Q1 2024 involved kickbacks, fabricated claims, and deceit of vulnerable healthcare consumers.
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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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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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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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