Case Study

Busted: How a major Minnesota health plan built a strong case leading to a chiropractor’s fraud conviction

Strong data analysis is the backbone of any successful fraud, waste, and abuse (FWA) investigation. Special investigative units (SIUs) benefit from robust data analysis tools for quick and accurate information as they build their rigorous investigations. And well-organized evidence is key when SIUs hand the investigation off to law enforcement for next steps.

Download our case study to learn how one major Minnesota health plan serving more than 2.5 million members relied on Cotiviti’s FWA Solutions to investigate suspicious billing patterns over time, analyze data in a user-friendly format, and ultimately build a case leading to the conviction of a chiropractor who billed for services not rendered.
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