FWA Insights: Excessive dental restorations
Learn how Cotiviti's SIU identified excessive billing for dental restorations to safeguard payment integrity and appropriate member care.
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FWA Insights: Stay ahead of the latest schemes and trends in FWA
Discover the latest in fraud, waste, and abuse (FWA) from Cotiviti’s special investigative unit (SIU) as we walk through new threats, real-life cases, and top schemes.
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FWA Insights: Solving durable medical equipment (DME) challenges
Learn how Cotiviti's investigators took action when one provider stood out for excessive durable medical equipment (DME) billing of Medicare.
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FWA Insights: Skin grafts and substitutes
Learn how prepay FWA review identified over half a million dollars in skin substitute overpayments for one client.
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FWA Insights: Reducing audit abrasion
Learn how a more collaborative, transparent approach to provider audits can help health plans maintain compliance while fostering productive provider relationships.
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FWA Insights: Changes to audio-only telehealth codes sheds light on FWA
Learn how health plans can stay vigilant for FWA amid CMS’s changing telehealth guidelines.
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How to evolve your FWA program in 2025
Learn how payers can deploy technological advancements and machine learning alongside human expertise to reduce FWA.
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6 key capabilities to advance beyond traditional FWA lead detection
Learn six key capabilities health plans can incorporate into their FWA programs to maximize prevention, recovery efforts, and operational efficiency.
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Introducing Cotiviti's 360 Pattern Review™
Learn how Cotiviti's 360 Pattern Review offers comprehensive FWA prevention and management across the entire claim payment cycle, seamlessly integrating with your existing programs and personnel.
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Highmark Wholecare prevents FWA with Claim Pattern Review
Learn how Highmark Wholecare prevented improper payments and FWA with Cotiviti's prepayment integrity solution.
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360 Pattern Review™ solution
Prevent and recover more healthcare and dental FWA with an integrated pre and postpay solution
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Claim Pattern Review™ solution
Prevent FWA before claims are paid and flag providers that warrant immediate investigation
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FWA Pattern Review™ solution
Improve fraud, waste, and abuse (FWA) detection and recoveries with an expert-driven managed service model
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