FWA Insights: The latest from Cotiviti’s SIU

Discover how Cotiviti’s sharp investigators stay on top of the latest trends, threats, and schemes in healthcare fraud, waste, and abuse.

FWA Insights: Identifying adult day health billing schemes

Learn how Cotiviti’s investigators identified outlier providers in Adult Day Health (ADH) billing, what their analysis uncovered, and how health plans can strengthen oversight.

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FWA Insights: The top fraud schemes of 2025

Mitigate FWA risks in 2026 with these lessons learned from 2025 in lab testing, home health and hospice, and telehealth.

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FWA Insights: Preventing overbilling in therapeutic home services

Learn how prospective analytics and expert review uncovered home health billing errors.

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Evolving healthcare FWA management in 2026 and beyond

Learn how payers can deploy technological advancements and machine learning alongside human expertise to reduce FWA.

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FWA Insights: Billing for services not rendered

Learn key red flags to look for in healthcare fraud schemes involving services not rendered and how Cotiviti helped identify a multimillion-dollar scheme.

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FWA Insights: Stopping “phantom providers” with prepay intervention

Learn how phantom provider schemes work and how to stop them with prepay fraud, waste, and abuse interventions.

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FWA Insights: Appropriate billing of intensive outpatient programs

Learn how to spot red flags in billing for intensive outpatient programs (IOPs) with these insights from Cotiviti's FWA team.

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FWA Insights: Q&A with the SIU

Cotiviti's FWA investigators break down complex questions related to skin grafts and substitutes, a growing area of concern in healthcare.

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