Case Study

New York health plan cracks massive diagnostic testing scheme for pre-pay FWA savings

Serving more than 1.4 million members, one New York health plan realized major savings following Cotiviti’s identification of a possible massive diagnostic fraud testing scheme—an investigation that led to four New York City-area doctors being arrested and charged for their roles in the alleged fraud.

Download our case study and learn how the plan took an end-to-end, pre- and post-pay approach to fraud, waste, and abuse (FWA) management, ultimately realizing more than $10.5 million in savings from this one investigation alone.
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