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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Learn how overuse of HCPCS H2014 and HCPCS T1017 led to an FWA investigation by Cotiviti’s SIU.
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Visit nowLearn about critical updates to the 2024 CPT code set and other trends impacting healthcare payments.
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Learn how one Medicare Advantage plan prevented more than $1 million inappropriate payments in less than a year with Claim Pattern Review.
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Learn about 2024 CPT code updates that may increase the potential for FWA as well as other anticipated trends.
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Detect and deter FWA while meeting compliance and financial goals
Read fact sheetRead 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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Learn how your plan can tackle fraud, waste, and abuse across areas like DME, genetic testing, and more.
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Hear from our FWA experts on how artificial intelligence (AI) and machine learning (ML) can be used to detect emerging patterns of inappropriate billing and how to navigate new technology challenges.
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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 the emerging schemes in the market related to the new drug.
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Learn how to integrate prepay and postpay program interventions to improve fraud, waste, and abuse (FWA) management and prevention.
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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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Join Cotiviti and MetroPlus Health Plan as we discuss a collaborative case study that led to an identified overpayment of more than $1 million.
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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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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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Join Cotiviti’s FWA experts for our latest FWA webinar as they discuss how to approach investigations, interventions, and behavior tracking across prepay and postpay FWA programs.
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Cotiviti VP of Fraud, Waste, and Abuse Erin Rutzler joins the Healthcare de Jure podcast to discuss the ins and outs of healthcare fraud prevention and management.
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Watch our on-demand webinar as health plan SIU leaders discuss best practices around overcoming common challenges, such as heavy workloads, and will walk through emerging schemes.
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