Prepay FWA review leads to >$100,000 in projected annual savings
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 identified a suspicious pattern of psychotherapy claims from one provider, preventing inappropriate claims from being paid.
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Sequencing investigative activities for greater provider impact%%Attend the live webinar on Tuesday, March 28
Register TodayCotiviti 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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SIU panel discussion%% Watch the on-demand webinar and optimize your SIU
Watch WebinarCotiviti rounds up some of the most prominent cases of alleged healthcare fraud from the fourth quarter of 2022.
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Catching potential drug testing fraud%%Watch the on-demand webinar
Watch WebinarExplore the latest CPT code updates and areas for payers to scrutinize in the new year.
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Detect and deter FWA while meeting compliance and financial goals
Read fact sheetIn our newly updated eBook, we offer insight into how you can develop a solid foundation for holistic payment success across your critical programs.
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Preparing for investigative FWA strategies in 2023%%Watch on demand
Watch NowLearn different FWA patterns specific to genetic testing services from Cotiviti’s SIU.
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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 the latest in dental FWA and explore best practices for prevention.
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Learn how Cotiviti’s SIU uncovered an overpayment of over $2 million related to mental health services.
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Learn how Cotiviti's SIU caught a fraudulent pattern within applied behavior analysis.
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Learn how Cotiviti helped one plan identify inappropriate modifiers leading to the identification of a >$1 million overpayment.
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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 SIU flagged an excess of CPT 97799 codes through prepayment review and data analysis.
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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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While many plans lean on prior authorizations to ease the processing of specialty drug claims, our experts explore more comprehensive options for getting claims paid more accurately—and more quickly.
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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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