by Rebecca Kneipp | Feb 19, 2026
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,...
by Rebecca Kneipp | Feb 10, 2026
Applied Behavior Analysis (ABA) is commonly used to treat individuals with Autism Spectrum Disorder (ASD). Treatment is designed to improve communication, social skills, and adaptive learning. However, as the prevalence of ASD diagnoses has risen, so has the risk for...
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...
by Rebecca Kneipp | Nov 25, 2025
Thanksgiving is a time of bounty – for feasting, family, and giving thanks. It is a cornucopia of delicious food and cherished traditions. But for insurance companies, it can also be a stark reminder that while the holiday means time away from work, there are...
by Rebecca Kneipp | Jul 15, 2025
The integrity of the entire healthcare system relies on accurate and honest billing practices, but what happens when there is improper billing? It impacts everyone – from individual patients to insurance payors to taxpayers. One area of the healthcare system...
