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The Critical Need for Prepay Fraud Detection in Healthcare, Chemodenervation & More

The Critical Need for Prepay Fraud Detection in Healthcare, Chemodenervation & More

by Rebecca Kneipp | Feb 12, 2025 | Blog

The healthcare industry is a prime target for fraud, with billions of dollars lost annually due to inappropriate claims. While post-payment detection methods have been the traditional approach, they often fall short. The ‘pay and chase’ method can lead to large...
Recharged and Ready for New Schemes: Hit the Ground Running in 2025

Recharged and Ready for New Schemes: Hit the Ground Running in 2025

by Rebecca Kneipp | Jan 21, 2025 | Blog

Hello January! The holiday decorations have been packed away, the eggnog jug is long empty, and the lingering scent of pine needles is fading fast. Let’s be honest, after weeks of festive cheer, indulgent meals and leisurely mornings, it was starting to be difficult...
Going into 2025 – A Balancing Act of Technology, Economy, and Patient Care

Going into 2025 – A Balancing Act of Technology, Economy, and Patient Care

by Rebecca Kneipp | Dec 11, 2024 | Blog

As we rapidly approach the end of 2024, we reflect on some changes and adaptations in the healthcare industry. The industry faced both challenges and opportunities. We witnessed a convergence of factors shaping the future of health insurance – from continual...
Sniffling Your Way Through the Season: Arm Yourself with a Vaccine

Sniffling Your Way Through the Season: Arm Yourself with a Vaccine

by Rebecca Kneipp | Nov 12, 2024 | Blog

Is it a cold? Is it the flu? Or is it just your body’s way of saying, “Enough with the pumpkin spice, already?” Whether we like it or not, cold and flu season is upon us! According to the Center for Disease Control and Prevention (CDC), an annual flu...
Chemodenervation: Injecting Payor Requirements Into the Mix

Chemodenervation: Injecting Payor Requirements Into the Mix

by Rebecca Kneipp | Oct 8, 2024 | Blog

Chemodenervation involves the use of chemical agents to temporarily or permanently block nerve signals, paralyzing the targeted muscles. The most commonly known chemical agent is botulinum toxin (Botox), which is typically used for cosmetic purposes. It is also...
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