Karen Weintraub, EVP at Healthcare Fraud Shield, will present “Unmasking Phantom Providers: Leveraging Link Analysis, Analytics and External Data” as part of the 2026 Schemes for Health Care Fraud Investigators and Analysts virtual program. Originally featured at the...
Fraud is evolving faster than traditional controls. Schemes are more coordinated and documentation is more engineered. Billing patterns are designed to survive first-pass reviews. And many organizations are still reacting after payment. If you lead SIU, compliance,...
AI is transforming how healthcare payers protect their dollars. One of the best places to see this impact is in payment integrity. This is where health plans can use AI to prevent fraud, waste, abuse, and errors (FWAE) before claims are paid. It’s fast, effective, and...
The healthcare information sector has become a prime target for cybercriminals. And why not? It is a repository of our most valuable personal information. Recent high-profile data breaches, such as the massive incident at Change Healthcare affecting an estimated 190...
IV infusions and injections are methods of delivering medication and with continually advancing drug development and increasing utilization they are a fast-growing sector of the healthcare ecosystem. IV Infusions involve inserting a needle into a vein and...
