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Investigating Hospice Fraud: Common Schemes and Red Flags

Investigating Hospice Fraud: Common Schemes and Red Flags

by Rebecca Kneipp | Jan 14, 2026

Hospice is designed to provide comfort and supportive care to terminally ill patients with a prognosis of six months or less. However, the high per diem payment structure makes it a significant target for sophisticated fraud schemes. Improper billing for hospice...
Why AI in Payment Integrity Delivers Real ROI for Health Plans

Why AI in Payment Integrity Delivers Real ROI for Health Plans

by Rebecca Kneipp | Aug 5, 2025

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...
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